Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.17 / $98.17 / $98.17	Facility		$98.17	$98.17	$98.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $84.37	Professional		$61.44	$62.05	$84.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $364.43 / $591.70	Facility		$142.94	$364.43	$591.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $65.08 / $100.25	Professional		$65.08	$65.08	$100.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $79.48	Facility		$61.44	$61.44	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $88.09 / $115.53	Professional		$66.02	$88.09	$115.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $93.50	Facility		$61.44	$61.44	$93.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $82.50	Professional		$61.44	$61.44	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $65.13	Professional		$61.44	$61.44	$65.13