Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $32.58 / $276.04	Facility		$32.58	$32.58	$276.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.73 / $29.56	Professional		$21.53	$21.73	$29.56
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 $24.29 / $24.29 / $32.35	Professional		$24.29	$24.29	$32.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $21.52 / $85.00	Facility		$21.52	$21.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Professional		$21.52	$21.52	$21.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $33.11 / $47.31	Professional		$31.54	$33.11	$47.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $28.14 / $148.96	Facility		$21.53	$28.14	$148.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $30.85	Professional		$21.52	$21.52	$30.85
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $22.82	Professional		$21.53	$21.53	$22.82