Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $9,105.67	Facility		$1,000.00	$7,838.38	$9,105.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $138.13 / $138.13 / $374.44	Facility	52	$138.13	$138.13	$374.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.26 / $55.26 / $149.78	Facility	53	$55.26	$55.26	$149.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.18 / $544.47 / $963.97	Professional		$257.18	$544.47	$963.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.20 / $3,073.55 / $4,946.74	Facility		$791.20	$3,073.55	$4,946.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.05 / $574.75 / $943.66	Professional		$308.05	$574.75	$943.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $434.63 / $749.86	Facility		$434.63	$434.63	$749.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $625.16 / $1,137.11	Professional		$312.00	$625.16	$1,137.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $182.78 / $958.20	Professional		$32.34	$182.78	$958.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.56 / $604.75 / $906.12	Facility		$269.56	$604.75	$906.12
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.81 / $689.82 / $1,456.12	Professional		$340.81	$689.82	$1,456.12
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 $695.31 / $980.27 / $1,472.39	Professional		$695.31	$980.27	$1,472.39