Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.12 / $114.82	Professional		$13.80	$25.12	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $43.65	Professional		$16.60	$28.84	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $56.23	Facility		$22.91	$33.88	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $43.65 / $69.18	Professional		$22.39	$43.65	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $41.69	Professional		$14.79	$17.38	$41.69