Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $151.36 / $154.88	Facility		$70.79	$151.36	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $131.83	Professional		$30.90	$38.02	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $46.77	Professional		$28.84	$38.02	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $53.70	Professional		$42.66	$42.66	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $100.00	Professional		$60.26	$70.79	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $74.13 / $138.04	Facility		$31.62	$74.13	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $67.61	Professional		$42.66	$61.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $28.18	Professional		$19.95	$19.95	$28.18