Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $29.29 / $131.58	Professional		$21.87	$29.29	$131.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.64 / $4.50	Professional		$2.73	$3.64	$4.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $30.64	Facility		$30.64	$30.64	$30.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $36.38	Professional		$30.64	$30.64	$36.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $38.12 / $71.48	Professional		$4.58	$38.12	$71.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $25.35 / $36.72	Facility		$14.51	$25.35	$36.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $36.38	Professional		$30.64	$30.64	$36.38
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.75 / $33.86	Professional		$19.05	$22.75	$33.86