Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.28 / $6,667.80 / $7,838.38	Facility		$1,001.28	$6,667.80	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $383.79 / $383.79 / $383.79	Facility	52	$383.79	$383.79	$383.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.94 / $897.87 / $3,308.00	Professional		$706.94	$897.87	$3,308.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,660.24 / $12,220.08 / $19,593.02	Facility		$3,660.24	$12,220.08	$19,593.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.71 / $898.89 / $1,381.98	Professional		$681.71	$898.89	$1,381.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.10 / $1,277.22 / $1,578.99	Professional		$647.10	$1,277.22	$1,578.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $209.89 / $1,132.49	Professional		$32.34	$209.89	$1,132.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.42 / $1,031.24 / $1,268.39	Facility		$730.42	$1,031.24	$1,268.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.39 / $1,249.09 / $1,578.99	Professional		$866.39	$1,249.09	$1,578.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $974.85 / $1,276.01 / $1,758.96	Professional		$974.85	$1,276.01	$1,758.96