Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $62.87 / $68.41	Professional		$28.66	$62.87	$68.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $62.41 / $62.41	Professional		$46.81	$62.41	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $127.34 / $127.34	Professional		$95.00	$127.34	$127.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $59.88 / $68.41	Facility		$55.91	$59.88	$68.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $66.42	Professional		$33.32	$33.32	$66.42
United Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $34.63 / $52.17	Professional		$32.02	$34.63	$52.17