Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.22 / $338.08	Professional		$48.98	$75.22	$338.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $79.80 / $95.08	Professional		$59.85	$79.80	$95.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $66.78	Professional		$48.75	$66.78	$66.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $99.89 / $149.83	Professional		$79.91	$99.89	$149.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $75.09	Facility		$28.31	$28.31	$75.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $117.06	Professional		$48.75	$66.78	$117.06
United Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $117.18	Facility		$99.60	$99.60	$117.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.85 / $66.05	Professional		$39.81	$43.85	$66.05