Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $38.09 / $38.09	Facility		$38.09	$38.09	$38.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $58.49 / $293.18	Professional		$38.09	$58.49	$293.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $62.05 / $73.93	Professional		$46.54	$62.05	$73.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $54.54	Professional		$39.81	$54.54	$54.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $113.78 / $170.67	Professional		$91.02	$113.78	$170.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $24.54 / $58.37	Facility		$24.54	$24.54	$58.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $89.30	Professional		$39.81	$54.54	$89.30
United Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $38.02 / $57.27	Professional		$34.52	$38.02	$57.27