Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $48.03 / $48.03	Facility		$48.03	$48.03	$48.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $73.75 / $338.50	Professional		$48.03	$73.75	$338.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.01 / $456.17 / $852.22	Facility		$142.01	$456.17	$852.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $78.23 / $93.22	Professional		$58.67	$78.23	$93.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $65.90	Professional		$48.11	$65.90	$65.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.35 / $97.94 / $146.91	Professional		$78.35	$97.94	$146.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $73.61	Facility		$28.34	$28.34	$73.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $103.12	Professional		$48.11	$65.90	$103.12
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $43.90 / $66.13	Professional		$39.86	$43.90	$66.13