Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $115.18 / $7,838.38	Facility		$28.98	$115.18	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.19 / $55.20	Professional		$12.49	$17.19	$55.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.46 / $62.10 / $93.00	Professional	50	$23.46	$62.10	$93.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.25 / $7.96 / $38.29	Professional	52	$6.25	$7.96	$38.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.50 / $3.18 / $15.32	Professional	53	$2.50	$3.18	$15.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $290.56 / $486.76	Facility		$121.12	$290.56	$486.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.03 / $24.88	Professional		$11.22	$18.03	$24.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $19.55 / $25.28	Professional		$13.36	$19.55	$25.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $23.69 / $32.34	Professional		$21.54	$23.69	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $11.91 / $11.91	Facility		$11.91	$11.91	$11.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $19.10 / $25.28	Professional		$13.36	$19.10	$25.28
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 $16.20 / $20.01 / $28.44	Professional		$16.20	$20.01	$28.44