Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.94 / $2,145.78 / $7,838.38	Facility		$558.94	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.62 / $62.62 / $279.47	Facility	52	$62.62	$62.62	$279.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $169.38 / $709.45	Professional		$114.68	$169.38	$709.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.90 / $3,120.77 / $5,022.75	Facility		$727.90	$3,120.77	$5,022.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $151.32 / $631.14	Professional		$90.79	$151.32	$631.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $197.32 / $749.86	Facility		$197.32	$197.32	$749.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $251.40 / $834.71	Professional		$137.60	$251.40	$834.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $133.36 / $694.30	Professional		$32.34	$133.36	$694.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $222.05 / $697.26	Facility		$115.60	$222.05	$697.26
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.53 / $309.13 / $1,102.80	Professional		$160.53	$309.13	$1,102.80
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 $206.33 / $542.42 / $1,057.74	Professional		$206.33	$542.42	$1,057.74