Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $25.77 / $111.87	Professional		$19.23	$25.77	$111.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.22 / $3.95	Professional		$2.42	$3.22	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Facility		$27.09	$27.09	$27.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $32.74	Professional		$27.09	$27.09	$32.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $33.55 / $62.91	Professional		$4.05	$33.55	$62.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $22.13 / $32.31	Facility		$12.50	$22.13	$32.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $32.74	Professional		$27.09	$27.09	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.34 / $29.16	Professional		$16.41	$19.34	$29.16