Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $85.14 / $85.14	Facility		$85.14	$85.14	$85.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $130.75 / $486.36	Professional		$85.14	$130.75	$486.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $138.71 / $165.27	Professional		$104.03	$138.71	$165.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $104.24	Professional		$76.09	$104.24	$104.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.48 / $254.36 / $381.54	Professional		$203.48	$254.36	$381.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $49.69 / $130.47	Facility		$49.69	$49.69	$130.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $197.53	Professional		$76.09	$104.24	$197.53
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $76.97 / $115.94	Professional		$69.89	$76.97	$115.94