Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $55.86 / $55.86	Facility		$55.86	$55.86	$55.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $76.25 / $389.51	Professional		$55.86	$76.25	$389.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.81 / $497.63 / $881.03	Facility		$146.81	$497.63	$881.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $80.88 / $96.37	Professional		$60.66	$80.88	$96.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $66.22	Professional		$48.34	$66.22	$66.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $101.25 / $151.87	Professional		$81.00	$101.25	$151.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $76.08	Facility		$32.61	$32.61	$76.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $131.69	Professional		$48.34	$66.22	$131.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $60.75 / $77.83	Professional		$46.70	$60.75	$77.83