Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.60 / $5,000.27 / $7,838.38	Facility		$829.60	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $732.63 / $1,191.68	Professional		$197.46	$732.63	$1,191.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.43 / $3,145.54 / $5,129.97	Facility		$1,276.43	$3,145.54	$5,129.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.68 / $869.64 / $1,329.37	Professional		$240.68	$869.64	$1,329.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $343.38 / $1,023.75	Facility		$343.38	$343.38	$1,023.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.97 / $423.89 / $1,666.35	Professional		$243.97	$423.89	$1,666.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $222.96 / $1,169.09	Professional		$32.34	$222.96	$1,169.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $717.25 / $1,571.74	Facility		$194.49	$717.25	$1,571.74
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $767.13 / $1,937.05	Professional		$263.02	$767.13	$1,937.05
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 $1,009.88 / $1,504.00 / $2,104.55	Professional		$1,009.88	$1,504.00	$2,104.55