Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $111.47 / $111.47	Professional		$83.21	$111.47	$111.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.37 / $154.07	Professional		$10.02	$13.37	$154.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $64.17	Professional		$13.43	$64.17	$64.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $163.31 / $244.96	Professional		$10.44	$163.31	$244.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $94.20 / $138.16	Facility		$69.50	$94.20	$138.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $64.17	Professional		$13.43	$64.17	$64.17
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $99.53 / $162.16	Professional		$67.91	$99.53	$162.16