Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $39.93 / $49.94	Facility		$28.28	$39.93	$49.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $48.19 / $69.01	Professional		$28.28	$48.19	$69.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $47.36 / $88.13	Professional		$28.42	$47.36	$88.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $57.33 / $101.51	Professional		$39.40	$57.33	$101.51
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 $33.22 / $48.21 / $118.81	Facility		$33.22	$48.21	$118.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $59.72 / $107.12	Professional		$39.77	$59.72	$107.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $73.45 / $103.69	Professional		$61.49	$73.45	$103.69