Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $171.00 / $7,838.38	Facility		$171.00	$171.00	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.17 / $23.17 / $117.74	Facility	52	$23.17	$23.17	$117.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $191.48 / $262.24	Professional		$44.85	$191.48	$262.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $130.78 / $297.63	Professional		$52.09	$130.78	$297.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $82.90 / $318.80	Professional		$47.28	$82.90	$318.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.28 / $285.66	Professional		$32.34	$34.28	$285.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $160.32 / $311.05	Facility		$34.56	$160.32	$311.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $126.42 / $462.16	Professional		$51.74	$126.42	$462.16
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $295.89 / $468.90	Professional		$212.21	$295.89	$468.90