Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $95.06 / $162.72	Professional		$74.28	$95.06	$162.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $87.61 / $185.16	Professional		$65.70	$87.61	$185.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $101.12 / $235.98	Facility		$75.34	$101.12	$235.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $108.70 / $261.45	Professional		$81.84	$108.70	$261.45
United Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $151.84 / $230.69	Professional		$112.80	$151.84	$230.69