Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $606.10 / $7,838.38	Facility		$111.15	$606.10	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.30 / $42.30 / $131.63	Facility	52	$42.30	$42.30	$131.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.92 / $16.92 / $52.65	Facility	53	$16.92	$16.92	$52.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $233.40 / $545.49	Professional		$84.59	$233.40	$545.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.86 / $116.70 / $171.69	Professional	52	$38.86	$116.70	$171.69
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $15.54 / $46.68 / $68.68	Professional	53	$15.54	$46.68	$68.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.17 / $2,408.25 / $3,861.26	Facility		$1,041.17	$2,408.25	$3,861.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $187.92 / $343.86	Professional		$96.70	$187.92	$343.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $236.85 / $377.24	Professional		$144.27	$236.85	$377.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $198.02 / $330.03	Professional		$32.34	$198.02	$330.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.35 / $212.65 / $326.08	Facility		$113.35	$212.65	$326.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $236.85 / $397.57	Professional		$138.13	$236.85	$397.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.94 / $2,516.00 / $2,761.00	Facility		$1,334.94	$2,516.00	$2,761.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.78 / $321.83 / $470.06	Professional		$253.78	$321.83	$470.06