Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $107.40 / $107.40 / $505.45	Facility	52	$107.40	$107.40	$505.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.96 / $42.96 / $202.18	Facility	53	$42.96	$42.96	$202.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $862.58 / $1,125.44	Professional		$214.79	$862.58	$1,125.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,261.55 / $7,824.50 / $13,108.11	Facility		$3,261.55	$7,824.50	$13,108.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $755.87 / $1,449.25	Professional		$241.96	$755.87	$1,449.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.16 / $407.56 / $1,460.74	Professional		$247.16	$407.56	$1,460.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $729.22 / $1,274.01	Professional		$32.34	$729.22	$1,274.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.20 / $268.20 / $1,034.97	Facility		$268.20	$268.20	$1,034.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.16 / $407.56 / $1,497.37	Professional		$247.16	$407.56	$1,497.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.29 / $1,369.71 / $1,898.36	Professional		$1,033.29	$1,369.71	$1,898.36