Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $36.09 / $166.66	Professional		$26.94	$36.09	$166.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.61 / $5.54	Professional		$3.46	$4.61	$5.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $45.55	Professional		$37.90	$37.90	$45.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $8.69 / $75.00	Professional		$4.63	$8.69	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $29.92 / $45.24	Facility		$19.27	$29.92	$45.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $45.55	Professional		$37.90	$37.90	$45.55
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $28.82 / $44.97	Professional		$25.31	$28.82	$44.97