Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $51.29	Professional		$28.84	$29.51	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $34.67	Professional		$23.44	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $58.88	Facility		$22.39	$29.51	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.92 / $29.51	Facility		$26.30	$26.92	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $30.90	Professional		$28.84	$30.20	$30.90