Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Facility		$17.28	$17.28	$17.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $15.82 / $17.28	Professional		$3.74	$15.82	$17.28
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 $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $60.00 / $1,500.00	Professional		$55.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $20.38	Professional		$20.38	$20.38	$20.38