Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $3,655.34 / $7,838.38	Facility		$1,378.00	$3,655.34	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.96 / $126.96 / $771.20	Facility	52	$126.96	$126.96	$771.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $867.86 / $2,028.80	Professional		$213.69	$867.86	$2,028.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,312.71 / $10,346.23 / $17,332.68	Facility		$4,312.71	$10,346.23	$17,332.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $811.77 / $1,750.56	Professional		$262.20	$811.77	$1,750.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.31 / $431.30 / $1,708.05	Professional		$261.31	$431.30	$1,708.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,008.10 / $1,737.21	Professional		$32.34	$1,008.10	$1,737.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.99 / $241.99 / $947.66	Facility		$241.99	$241.99	$947.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.23 / $431.30 / $2,050.25	Professional		$264.23	$431.30	$2,050.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.56 / $1,542.59 / $2,281.96	Professional		$1,103.56	$1,542.59	$2,281.96