Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.15 / $124.15 / $237.90	Facility		$124.15	$124.15	$237.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $124.15 / $190.32	Professional		$77.69	$124.15	$190.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.42 / $29.04	Professional		$20.09	$20.42	$29.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $145.50 / $232.69	Professional		$105.73	$145.50	$232.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $118.93 / $161.77	Facility		$70.00	$118.93	$161.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $145.50 / $232.69	Professional		$105.73	$145.50	$232.69
United Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $159.13 / $198.91	Professional		$116.86	$159.13	$198.91