Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $45.89 / $45.89	Facility		$45.89	$45.89	$45.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $70.47 / $257.75	Professional		$45.89	$70.47	$257.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $459.95 / $814.29	Facility		$135.69	$459.95	$814.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $74.76 / $89.07	Professional		$56.07	$74.76	$89.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Facility		$56.56	$56.56	$56.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.56 / $56.56	Professional		$41.29	$56.56	$56.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $93.58 / $140.37	Professional		$74.86	$93.58	$140.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $70.31	Facility		$26.73	$26.73	$70.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.56 / $104.70	Professional		$41.29	$56.56	$104.70
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $41.41 / $62.38	Professional		$38.29	$41.41	$62.38