Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $2,145.78 / $7,838.38	Facility		$292.48	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.45 / $46.45 / $146.24	Facility	52	$46.45	$46.45	$146.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.57 / $18.57 / $58.50	Facility	53	$18.57	$18.57	$58.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $192.56 / $375.21	Professional		$86.45	$192.56	$375.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.24 / $2,952.41 / $4,751.77	Facility		$629.24	$2,952.41	$4,751.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $207.60 / $378.71	Professional		$105.56	$207.60	$378.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $596.36	Facility		$147.60	$147.60	$596.36
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $203.86 / $412.52	Professional		$108.65	$203.86	$412.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.31 / $382.76	Professional		$32.34	$72.31	$382.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $229.37 / $324.42	Facility		$91.27	$229.37	$324.42
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $250.89 / $570.00	Professional		$120.07	$250.89	$570.00
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.66 / $326.51 / $502.97	Professional		$248.66	$326.51	$502.97