Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.81 / $43.81 / $43.81	Facility		$43.81	$43.81	$43.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $47.68 / $250.22	Professional		$43.81	$47.68	$250.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.54 / $439.10 / $777.39	Facility		$129.54	$439.10	$777.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $71.37 / $85.04	Professional		$53.53	$71.37	$85.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $109.31	Professional		$36.22	$36.22	$109.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $89.34 / $134.01	Professional		$71.47	$89.34	$134.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $67.14	Facility		$25.57	$25.57	$67.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $49.61 / $104.06	Professional		$36.22	$49.61	$104.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $39.60 / $59.66	Professional		$35.96	$39.60	$59.66