Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $22.51 / $99.87	Professional		$16.80	$22.51	$99.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.75 / $3.46	Professional		$2.06	$2.75	$3.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $23.28	Facility		$23.28	$23.28	$23.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $23.28 / $27.37	Professional		$23.28	$23.28	$27.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $38.83 / $72.81	Professional		$5.04	$38.83	$72.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $19.77 / $28.21	Facility		$11.63	$19.77	$28.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $23.28 / $27.37	Professional		$23.28	$23.28	$27.37
United Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $17.27 / $27.14	Professional		$15.27	$17.27	$27.14