Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $169.82	Facility		$50.12	$91.20	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $100.00	Professional		$38.02	$63.10	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $112.20	Professional		$30.20	$56.23	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $144.54	Professional		$52.48	$85.11	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $69.18 / $102.33	Facility		$38.90	$69.18	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $125.89	Professional		$47.86	$77.62	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $144.54	Professional		$54.95	$91.20	$144.54