Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $102.88	Professional		$19.20	$19.20	$102.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $14.53 / $16.27	Professional		$10.90	$14.53	$16.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $23.31 / $33.00	Professional		$15.18	$23.31	$33.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $29.65	Professional		$28.19	$28.19	$29.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $21.89 / $28.86	Facility		$14.76	$21.89	$28.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.04 / $30.41	Professional		$18.39	$22.04	$30.41
United Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.68 / $30.40	Professional		$9.60	$12.68	$30.40