Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $83.43	Facility		$74.94	$74.94	$83.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $64.59 / $83.43	Professional		$54.90	$64.59	$83.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Facility		$39.61	$39.61	$39.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $51.50 / $74.30	Professional		$38.75	$51.50	$74.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $81.70 / $130.08	Professional		$51.00	$81.70	$130.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.57	Professional		$32.34	$32.34	$115.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $69.25 / $85.93	Facility		$53.27	$69.25	$85.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $79.84 / $126.19	Professional		$51.00	$79.84	$126.19
United Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $79.84 / $129.91	Professional		$52.58	$79.84	$129.91