Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $24.55 / $25.70	Facility		$23.99	$24.55	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $114.82	Professional		$12.88	$19.05	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $102.33 / $165.96	Professional		$24.55	$102.33	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $33.11	Professional		$19.05	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $77.62 / $112.20	Facility		$17.38	$77.62	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $102.33 / $165.96	Professional		$19.05	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $102.33 / $117.49	Professional		$19.50	$102.33	$117.49