Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $180.88 / $180.88	Facility		$67.40	$180.88	$180.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $67.41 / $182.00	Professional		$53.08	$67.41	$182.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $301.06 / $488.81	Facility		$81.81	$301.06	$488.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $55.54 / $55.54	Professional		$55.54	$55.54	$55.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $47.73 / $118.26	Facility		$44.39	$47.73	$118.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08