Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $380.19	Professional		$44.67	$66.07	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.31 / $9.33	Professional		$5.37	$6.31	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Professional		$60.26	$60.26	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $47.86 / $199.53	Professional		$10.47	$47.86	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $56.23 / $102.33	Facility		$39.81	$56.23	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $72.44	Professional		$33.88	$60.26	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $48.98 / $70.79	Facility		$5.62	$48.98	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $93.33	Professional		$44.67	$57.54	$93.33