Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $36.00 / $165.45	Professional		$26.87	$36.00	$165.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.55 / $55.25	Professional		$3.42	$4.55	$55.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Facility		$37.64	$37.64	$37.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $37.64 / $45.15	Professional		$37.64	$37.64	$45.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $58.57 / $87.85	Professional		$46.85	$58.57	$87.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $30.02 / $45.12	Facility		$19.55	$30.02	$45.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $37.64 / $45.15	Professional		$37.64	$37.64	$45.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $28.61 / $45.62	Professional		$26.44	$28.61	$45.62