Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $2,095.00 / $7,838.38	Facility		$268.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $77.36 / $157.24	Professional		$32.18	$77.36	$157.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.75 / $38.68 / $59.38	Professional	52	$14.75	$38.68	$59.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.70 / $707.02 / $1,184.45	Facility		$294.70	$707.02	$1,184.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $76.26 / $113.33	Professional		$36.36	$76.26	$113.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $83.50 / $153.99	Professional		$52.36	$83.50	$153.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $63.79 / $112.55	Professional		$21.26	$63.79	$112.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.72 / $99.35 / $138.62	Facility		$47.72	$99.35	$138.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $88.81 / $153.99	Professional		$52.11	$88.81	$153.99
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $132.83 / $173.34	Professional		$104.86	$132.83	$173.34