Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $107.15	Professional		$52.48	$72.44	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $114.82	Professional		$72.44	$95.50	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $177.83	Professional		$54.95	$54.95	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $263.03	Professional		$141.25	$177.83	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $91.20 / $154.88	Facility		$38.90	$91.20	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $165.96	Professional		$54.95	$54.95	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $162.18	Facility		$45.71	$66.07	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $91.20	Professional		$54.95	$60.26	$91.20