Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $24.23 / $107.15	Professional		$18.07	$24.23	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.01 / $3.72	Professional		$2.25	$3.01	$3.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Facility		$24.94	$24.94	$24.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $24.94 / $29.73	Professional		$24.94	$24.94	$29.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $27.96 / $59.13	Professional		$3.79	$27.96	$59.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $20.47 / $30.37	Facility		$13.94	$20.47	$30.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $24.94 / $29.73	Professional		$24.94	$24.94	$29.73
United Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $19.96 / $32.51	Professional		$17.82	$19.96	$32.51