Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.38 / $5,000.27 / $7,838.38	Facility		$289.38	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.28 / $75.28 / $144.69	Facility	52	$75.28	$75.28	$144.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $264.86 / $657.83	Professional		$130.34	$264.86	$657.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.53 / $3,500.77 / $5,612.95	Facility		$1,439.53	$3,500.77	$5,612.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $277.75 / $369.88	Professional		$158.52	$277.75	$369.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $276.29 / $526.79	Professional		$167.77	$276.29	$526.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $209.42 / $376.32	Professional		$32.34	$209.42	$376.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $274.58 / $469.29	Facility		$127.90	$274.58	$469.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $276.29 / $526.79	Professional		$167.77	$276.29	$526.79
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 $337.61 / $443.34 / $606.33	Professional		$337.61	$443.34	$606.33