Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.45 / $1,965.00 / $7,838.38	Facility		$270.45	$1,965.00	$7,838.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.06 / $35.06 / $207.19	Facility	53	$35.06	$35.06	$207.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $247.68 / $1,363.13	Professional		$136.25	$247.68	$1,363.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,046.30 / $7,308.10 / $12,243.01	Facility		$3,046.30	$7,308.10	$12,243.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.99 / $792.29 / $1,361.17	Professional		$181.99	$792.29	$1,361.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $284.02 / $1,529.09	Professional		$171.96	$284.02	$1,529.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,192.52	Professional		$32.34	$32.34	$1,192.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.04 / $158.04 / $1,027.39	Facility		$158.04	$158.04	$1,027.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $284.02 / $1,674.13	Professional		$179.44	$284.02	$1,674.13
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 $1,286.17 / $1,555.40 / $2,234.12	Professional		$1,286.17	$1,555.40	$2,234.12