Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $136.13 / $154.19	Professional		$60.25	$136.13	$154.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $117.67 / $140.66	Professional		$105.50	$117.67	$140.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $201.12 / $287.02	Professional		$201.12	$201.12	$287.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.61 / $132.21 / $149.68	Facility		$116.61	$132.21	$149.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $145.99	Professional		$63.92	$63.92	$145.99
United Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $66.44 / $100.08	Professional		$61.43	$66.44	$100.08