Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $81.78	Facility		$80.95	$80.95	$81.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $106.98 / $163.03	Professional		$80.95	$106.98	$163.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $98.79 / $226.48	Professional		$55.92	$98.79	$226.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $152.88 / $207.60	Professional		$113.43	$152.88	$207.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.61	Professional		$32.34	$32.34	$165.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $95.76 / $119.49	Facility		$86.36	$95.76	$119.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $155.47 / $225.14	Professional		$111.95	$155.47	$225.14
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $158.76 / $232.27	Professional		$129.36	$158.76	$232.27