Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.18 / $676.80 / $4,675.10	Facility		$115.18	$676.80	$4,675.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $13.45 / $13.45 / $33.26	Facility	52	$13.45	$13.45	$33.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $66.51 / $162.27	Professional		$29.48	$66.51	$162.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.33 / $31.27 / $48.38	Professional	52	$12.33	$31.27	$48.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $659.49 / $1,145.90	Facility		$234.12	$659.49	$1,145.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $63.75 / $88.83	Professional		$30.54	$63.75	$88.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $56.17 / $121.14	Professional		$36.43	$56.17	$121.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $51.86 / $91.69	Professional		$17.28	$51.86	$91.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $108.51 / $133.88	Facility		$37.97	$108.51	$133.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $71.78 / $125.62	Professional		$36.43	$71.78	$125.62
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $112.20 / $158.01	Professional		$84.13	$112.20	$158.01