Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $77.40 / $77.61	Facility		$77.40	$77.40	$77.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $75.73 / $299.08	Professional		$62.20	$75.73	$299.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.85 / $519.66 / $929.23	Facility		$154.85	$519.66	$929.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $86.24 / $130.38	Professional		$45.55	$86.24	$130.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $106.79 / $160.18	Professional		$85.43	$106.79	$160.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $30.56 / $80.25	Facility		$30.56	$30.56	$80.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $86.24 / $121.48	Professional		$45.55	$86.24	$121.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $47.35 / $71.31	Professional		$42.75	$47.35	$71.31