Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $55.03 / $103.25	Facility		$55.03	$55.03	$103.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $56.27 / $82.60	Professional		$42.45	$56.27	$82.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.06 / $405.71 / $681.51	Facility		$114.06	$405.71	$681.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $49.94 / $81.65	Facility		$49.94	$49.94	$81.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $67.56 / $89.61	Professional		$30.98	$67.56	$89.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $60.53 / $82.60	Facility		$43.97	$60.53	$82.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $68.84 / $99.29	Professional		$35.33	$68.84	$99.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $30.62 / $33.20	Professional		$19.69	$30.62	$33.20