Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.79 / $54.79 / $76.30	Facility		$54.79	$54.79	$76.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $76.30 / $193.48	Professional		$54.79	$76.30	$193.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $118.88	Professional	50	$118.88	$118.88	$118.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $869.64 / $1,417.06	Facility		$237.17	$869.64	$1,417.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $72.63 / $121.73	Professional		$43.58	$72.63	$121.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $102.24 / $150.43	Professional		$66.62	$102.24	$150.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $32.34 / $117.29	Professional		$21.49	$32.34	$117.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $91.37 / $129.41	Facility		$57.51	$91.37	$129.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $106.18 / $154.85	Professional		$72.59	$106.18	$154.85
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $120.87 / $187.22	Professional		$86.97	$120.87	$187.22