Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.24 / $102.24 / $113.68	Facility		$102.24	$102.24	$113.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $86.90 / $113.68	Professional		$69.48	$86.90	$113.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $66.09 / $81.81	Professional		$53.55	$66.09	$81.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $118.60 / $171.95	Professional		$87.44	$118.60	$171.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $92.24 / $117.29	Facility		$73.66	$92.24	$117.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $92.65 / $162.41	Professional		$35.00	$92.65	$162.41
United Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $136.19 / $177.92	Professional		$100.08	$136.19	$177.92