Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $4,507.18 / $8,763.29	Facility		$1,544.00	$4,507.18	$8,763.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.91 / $157.91 / $157.91	Facility	52	$157.91	$157.91	$157.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.16 / $63.16 / $63.16	Facility	53	$63.16	$63.16	$63.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $337.98 / $1,223.00	Professional		$290.17	$337.98	$1,223.00
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 $290.79 / $371.26 / $558.66	Professional		$290.79	$371.26	$558.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.25 / $481.70 / $591.76	Professional		$266.25	$481.70	$591.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.69 / $468.17	Professional		$32.34	$86.69	$468.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.23 / $426.65 / $491.43	Facility		$335.23	$426.65	$491.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.41 / $481.70 / $591.76	Professional		$358.41	$481.70	$591.76
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 $405.51 / $505.18 / $704.69	Professional		$405.51	$505.18	$704.69