Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $79.43	Professional		$38.90	$51.29	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $81.28	Professional		$54.95	$72.44	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $169.82	Professional		$39.81	$39.81	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $134.90	Professional		$72.44	$91.20	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $67.61 / $117.49	Facility		$27.54	$67.61	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $128.82	Professional		$39.81	$39.81	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $117.49	Facility		$33.11	$47.86	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $64.57	Professional		$38.90	$42.66	$64.57