Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $29.46 / $29.46	Facility		$29.46	$29.46	$29.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $45.24 / $168.16	Professional		$29.46	$45.24	$168.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $47.99 / $57.18	Professional		$47.99	$47.99	$57.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $73.54	Professional		$24.35	$24.35	$73.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $60.08 / $90.12	Professional		$48.06	$60.08	$90.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.19 / $45.14	Facility		$17.19	$17.19	$45.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.35 / $69.95	Professional		$24.35	$33.35	$69.95
United Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $60.49 / $71.17	Facility		$60.49	$60.49	$71.17
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $26.63 / $40.11	Professional		$24.17	$26.63	$40.11