Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $208.93	Professional		$46.77	$95.50	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $125.89	Professional		$63.10	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $213.80	Professional		$56.23	$107.15	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $204.17	Professional		$60.26	$109.65	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $190.55	Professional		$57.54	$91.20	$190.55