Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.15 / $59.15 / $65.30	Facility		$59.15	$59.15	$65.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $70.63 / $90.59	Professional		$59.15	$70.63	$90.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $72.79 / $123.81	Professional		$43.67	$72.79	$123.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $104.67 / $145.58	Professional		$75.28	$104.67	$145.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $128.40	Professional		$32.34	$32.34	$128.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.15 / $70.84 / $92.38	Facility		$59.15	$70.84	$92.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $102.36 / $145.58	Professional		$66.16	$102.36	$145.58
United Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $125.32 / $169.61	Professional		$103.63	$125.32	$169.61