Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.98 / $9.98 / $9.98	Facility	53	$9.98	$9.98	$9.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $47.00 / $221.16	Professional		$43.60	$47.00	$221.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $53.29 / $75.91	Professional		$50.06	$53.29	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $76.05 / $97.03	Professional		$46.26	$76.05	$97.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $32.34 / $67.73	Professional		$12.73	$32.34	$67.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $74.69 / $78.43	Facility		$58.68	$74.69	$78.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $64.72 / $97.03	Professional		$53.33	$64.72	$97.03
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $74.23 / $103.67	Professional		$58.95	$74.23	$103.67