Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $30.72 / $619.67	Facility		$18.57	$30.72	$619.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4.79 / $4.79 / $15.36	Facility	52	$4.79	$4.79	$15.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $40.03 / $184.00	Professional		$11.30	$40.03	$184.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $4.79 / $15.36 / $31.08	Professional	52	$4.79	$15.36	$31.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $25.40 / $67.31	Professional		$10.82	$25.40	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $34.24 / $62.67	Professional		$13.69	$34.24	$62.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.77	Professional		$32.34	$32.34	$42.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $29.71 / $95.25	Facility		$10.93	$29.71	$95.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $36.86 / $75.70	Professional		$15.35	$36.86	$75.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $59.90 / $85.88	Professional		$45.20	$59.90	$85.88