Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $138.04	Professional		$63.10	$83.18	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $165.96	Professional		$109.65	$147.91	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $229.09	Professional		$63.10	$63.10	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $275.42	Professional		$147.91	$186.21	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $131.83 / $190.55	Facility		$44.67	$131.83	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $169.82	Professional		$63.10	$63.10	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $190.55	Facility		$53.70	$77.62	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $104.71	Professional		$63.10	$69.18	$104.71