Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.85 / $947.70 / $7,838.38	Facility		$306.85	$947.70	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.42 / $36.42 / $110.32	Facility	52	$36.42	$36.42	$110.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $185.02 / $540.32	Professional		$65.59	$185.02	$540.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.66 / $92.51 / $147.71	Professional	52	$31.66	$92.51	$147.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.91 / $645.11 / $1,080.73	Facility		$268.91	$645.11	$1,080.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $161.63 / $268.94	Professional		$77.94	$161.63	$268.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $186.77 / $352.54	Professional		$90.93	$186.77	$352.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.49 / $279.97	Professional		$32.34	$126.49	$279.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $180.09 / $261.31	Facility		$81.40	$180.09	$261.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $209.62 / $352.54	Professional		$90.93	$209.62	$352.54
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.74 / $301.08 / $443.88	Professional		$215.74	$301.08	$443.88