Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $58.58 / $71.64	Professional		$47.80	$58.58	$71.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $55.60 / $98.57	Professional		$41.70	$55.60	$98.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
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 $49.03 / $59.30 / $84.05	Facility		$49.03	$59.30	$84.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $117.28 / $169.42	Professional		$55.95	$117.28	$169.42
United Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $95.68 / $131.36	Professional		$70.11	$95.68	$131.36