Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $4,507.18 / $7,838.38	Facility		$495.98	$4,507.18	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.25 / $81.25 / $220.30	Facility	52	$81.25	$81.25	$220.30
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.50 / $32.50 / $88.12	Facility	53	$32.50	$32.50	$88.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $415.45 / $693.48	Professional		$150.46	$415.45	$693.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $775.11 / $775.11 / $1,005.30	Professional	50	$775.11	$775.11	$1,005.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,580.54 / $8,615.39 / $13,813.46	Facility		$2,580.54	$8,615.39	$13,813.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.18 / $313.70 / $525.30	Professional		$186.18	$313.70	$525.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $292.92 / $830.08	Professional		$171.87	$292.92	$830.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $331.21 / $828.01	Professional		$32.34	$331.21	$828.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $198.15 / $676.24	Facility		$146.84	$198.15	$676.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.34 / $292.92 / $830.08	Professional		$179.34	$292.92	$830.08
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 $553.79 / $742.13 / $1,048.95	Professional		$553.79	$742.13	$1,048.95