Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.47 / $1,201.99 / $7,838.38	Facility		$236.47	$1,201.99	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.92 / $76.92 / $150.43	Facility	52	$76.92	$76.92	$150.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $265.91 / $590.00	Professional		$131.31	$265.91	$590.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.51 / $3,500.77 / $5,612.95	Facility		$1,513.51	$3,500.77	$5,612.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $278.60 / $376.67	Professional		$158.88	$278.60	$376.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $277.01 / $525.82	Professional		$168.01	$277.01	$525.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $213.43 / $382.33	Professional		$32.34	$213.43	$382.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.30 / $282.39 / $477.98	Facility		$130.30	$282.39	$477.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $277.01 / $525.82	Professional		$168.01	$277.01	$525.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $5,060.00	Facility		$3,085.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.84 / $439.45 / $579.96	Professional		$350.84	$439.45	$579.96