Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $31.08 / $143.52	Professional		$23.20	$31.08	$143.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.98 / $4.76	Professional		$2.99	$3.98	$4.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Facility		$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $39.42	Professional		$32.79	$32.79	$39.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $7.51 / $73.95	Professional		$4.00	$7.51	$73.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $25.65 / $38.96	Facility		$16.37	$25.65	$38.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $39.42	Professional		$32.79	$32.79	$39.42
United Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $24.82 / $38.19	Professional		$21.49	$24.82	$38.19