Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $3,630.78 / $5,248.07	Facility		$23.99	$3,630.78	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $52.48 / $707.95	Professional		$15.14	$52.48	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $57.54	Professional		$15.85	$20.89	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $54.95 / $75.86	Professional		$19.95	$54.95	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $74.13	Facility		$20.89	$41.69	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $87.10	Professional		$25.12	$54.95	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $42.66	Professional		$13.49	$24.55	$42.66