Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.82 / $2,145.78 / $7,838.38	Facility		$200.82	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.70 / $65.70 / $100.41	Facility	52	$65.70	$65.70	$100.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $177.08 / $570.62	Professional		$117.11	$177.08	$570.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,572.11 / $4,123.97	Facility		$1,112.02	$2,572.11	$4,123.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $172.81 / $289.25	Professional		$100.92	$172.81	$289.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $220.69 / $338.99	Professional		$153.13	$220.69	$338.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $145.54 / $257.52	Professional		$32.34	$145.54	$257.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $189.32 / $264.52	Facility		$134.66	$189.32	$264.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $220.69 / $338.99	Professional		$153.13	$220.69	$338.99
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 $210.60 / $268.39 / $395.29	Professional		$210.60	$268.39	$395.29