Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $70.88 / $141.75	Facility		$35.44	$70.88	$141.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $56.70 / $303.82	Professional		$35.44	$56.70	$303.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $38.65 / $47.25	Professional		$28.99	$38.65	$47.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $30.71 / $30.71	Facility		$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.66	Professional		$42.48	$42.48	$53.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $73.23 / $77.02	Professional		$60.00	$73.23	$77.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $59.54 / $212.64	Facility		$30.71	$59.54	$212.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $59.77 / $68.04	Professional		$54.34	$59.77	$68.04
United Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $42.53 / $42.53	Facility		$42.53	$42.53	$42.53
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $28.35	Professional		$19.85	$19.85	$28.35