Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.05 / $129.83 / $143.41	Facility		$92.05	$129.83	$143.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $88.13 / $142.54	Professional		$69.40	$88.13	$142.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
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 $60.36 / $108.19 / $165.22	Professional		$60.36	$108.19	$165.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $126.06 / $192.61	Professional		$90.64	$126.06	$192.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.00	Professional		$32.34	$32.34	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $99.79 / $122.89	Facility		$71.98	$99.79	$122.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $111.39 / $163.15	Professional		$63.65	$111.39	$163.15
United Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $130.13 / $190.40	Professional		$103.63	$130.13	$190.40