Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.07 / $2,145.78 / $7,838.38	Facility		$249.07	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.29 / $47.29 / $124.54	Facility	52	$47.29	$47.29	$124.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.92 / $18.92 / $49.81	Facility	53	$18.92	$18.92	$49.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $176.90 / $373.62	Professional		$85.09	$176.90	$373.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.53 / $3,769.25 / $6,043.41	Facility		$1,439.53	$3,769.25	$6,043.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $217.17 / $293.18	Professional		$102.07	$217.17	$293.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $223.20 / $395.94	Professional		$123.96	$223.20	$395.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.81 / $309.33	Professional		$32.34	$58.81	$309.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.85 / $322.61 / $412.02	Facility		$132.85	$322.61	$412.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $230.39 / $395.94	Professional		$123.96	$230.39	$395.94
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 $280.81 / $352.63 / $492.47	Professional		$280.81	$352.63	$492.47