Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $86.74 / $86.74	Facility		$86.74	$86.74	$86.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $133.21 / $510.40	Professional		$79.69	$133.21	$510.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $141.32 / $168.38	Professional		$105.99	$141.32	$168.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $106.22	Professional		$77.54	$106.22	$106.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $259.14 / $388.71	Professional		$207.31	$259.14	$388.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $42.73 / $132.94	Facility		$42.73	$42.73	$132.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $155.47	Professional		$77.54	$106.22	$155.47
United Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $65.59 / $65.59	Facility		$65.59	$65.59	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $66.19 / $99.70	Professional		$60.10	$66.19	$99.70