Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.60 / $467.50 / $7,838.38	Facility		$254.60	$467.50	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.18 / $46.18 / $63.53	Facility	52	$46.18	$46.18	$63.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $117.64 / $528.75	Professional		$86.67	$117.64	$528.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $539.67 / $879.40	Facility		$147.18	$539.67	$879.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $123.16 / $173.29	Professional		$63.56	$123.16	$173.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $145.10 / $206.08	Professional		$103.97	$145.10	$206.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $99.93 / $195.49	Professional		$21.85	$99.93	$195.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $129.28 / $203.36	Facility		$72.45	$129.28	$203.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $166.17 / $238.51	Professional		$105.75	$166.17	$238.51
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $191.59 / $241.15	Professional		$134.16	$191.59	$241.15