Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $45.16 / $45.16	Facility		$45.16	$45.16	$45.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $65.06 / $86.44	Professional		$30.78	$65.06	$86.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $363.64 / $627.47	Facility		$104.56	$363.64	$627.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $71.40 / $94.92	Professional		$63.00	$71.40	$94.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $37.95 / $98.18	Professional		$27.70	$37.95	$98.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $72.11 / $108.16	Professional		$57.68	$72.11	$108.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $40.42 / $117.80	Facility		$37.95	$40.42	$117.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $37.95 / $37.95	Professional		$27.70	$37.95	$37.95
United Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $52.84 / $98.26	Professional		$49.81	$52.84	$98.26