Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $33.18 / $63.00	Professional		$23.58	$33.18	$63.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.27 / $41.27 / $144.00	Professional	25	$41.27	$41.27	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.09 / $15.92 / $24.93	Professional	52	$11.09	$15.92	$24.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68,099.99 / $68,099.99 / $81,499.99	Facility		$68,099.99	$68,099.99	$81,499.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $52.74 / $62.04	Professional		$43.12	$52.74	$62.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $43.12 / $62.04	Facility		$43.12	$43.12	$62.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $43.12 / $62.04	Professional		$34.82	$43.12	$62.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $38.27 / $68.31	Facility		$25.37	$38.27	$68.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $62.04 / $94.48	Professional		$37.53	$62.04	$94.48
United Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $62.15 / $77.97	Professional		$53.11	$62.15	$77.97