Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.13 / $90.13 / $90.13	Facility		$90.13	$90.13	$90.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $138.41 / $574.39	Professional		$90.13	$138.41	$574.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $146.83 / $174.95	Professional		$110.12	$146.83	$174.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $126.23	Professional		$92.15	$126.23	$126.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.04 / $183.80 / $275.70	Professional		$147.04	$183.80	$275.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $59.20 / $138.13	Facility		$59.20	$59.20	$138.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $232.18	Professional		$92.15	$126.23	$232.18
United Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $91.70 / $138.13	Professional		$83.26	$91.70	$138.13