Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $29.05 / $29.05	Facility		$29.05	$29.05	$29.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $34.00 / $163.00	Professional		$29.05	$34.00	$163.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $47.32 / $56.38	Professional		$35.49	$47.32	$56.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $36.61	Professional		$26.73	$36.61	$36.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $59.24 / $88.86	Professional		$47.39	$59.24	$88.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $41.64	Facility		$17.53	$17.53	$41.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $71.63	Professional		$26.73	$36.61	$71.63
United Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $27.15 / $40.89	Professional		$25.10	$27.15	$40.89