Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.03 / $1,511.81 / $7,838.38	Facility		$195.03	$1,511.81	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.16 / $63.16 / $188.93	Facility	52	$63.16	$63.16	$188.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.26 / $25.26 / $75.56	Facility	53	$25.26	$25.26	$75.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $336.04 / $664.86	Professional		$96.65	$336.04	$664.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.96 / $2,024.66 / $3,391.84	Facility		$843.96	$2,024.66	$3,391.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $262.54 / $448.12	Professional		$130.43	$262.54	$448.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $210.79 / $1,060.06	Professional		$127.77	$210.79	$1,060.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $258.06 / $453.89	Professional		$32.34	$258.06	$453.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $116.37 / $302.47	Facility		$116.37	$116.37	$302.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $210.79 / $1,060.06	Professional		$131.49	$210.79	$1,060.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.65 / $742.51 / $1,324.80	Professional		$433.65	$742.51	$1,324.80