Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $51.79 / $51.79	Facility		$51.79	$51.79	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $79.53 / $295.77	Professional		$51.79	$79.53	$295.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $84.37 / $100.53	Professional		$63.28	$84.37	$100.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $67.95	Professional		$49.61	$67.95	$67.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $154.71 / $232.06	Professional		$123.76	$154.71	$232.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $79.37	Facility		$30.22	$30.22	$79.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $120.14	Professional		$49.61	$67.95	$120.14
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $46.81 / $70.52	Professional		$42.51	$46.81	$70.52