Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.99 / $3,347.52 / $7,838.38	Facility		$214.99	$3,347.52	$7,838.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.97 / $31.97 / $101.57	Facility	53	$31.97	$31.97	$101.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $507.86 / $1,575.84	Professional		$159.85	$507.86	$1,575.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,409.91 / $3,382.40 / $5,666.42	Facility		$1,409.91	$3,382.40	$5,666.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.84 / $570.38 / $829.45	Professional		$194.84	$570.38	$829.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $496.96 / $1,058.84	Professional		$217.80	$496.96	$1,058.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $408.85 / $717.59	Professional		$32.34	$408.85	$717.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.69 / $145.69 / $597.51	Facility		$145.69	$145.69	$597.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.23 / $496.96 / $1,058.84	Professional		$212.23	$496.96	$1,058.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.72 / $1,005.71 / $1,404.53	Professional		$818.72	$1,005.71	$1,404.53