Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $438.60 / $7,838.38	Facility		$73.95	$438.60	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $70.59 / $145.44	Professional		$42.03	$70.59	$145.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.93 / $35.29 / $59.71	Professional	52	$20.93	$35.29	$59.71
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.36 / $14.12 / $23.88	Professional	53	$8.36	$14.12	$23.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.96 / $534.89 / $896.08	Facility		$222.96	$534.89	$896.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.81 / $110.17	Professional		$41.69	$79.81	$110.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $89.85 / $131.69	Professional		$56.98	$89.85	$131.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $63.44 / $113.17	Professional		$21.14	$63.44	$113.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.80 / $80.90 / $112.71	Facility		$53.80	$80.90	$112.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $89.85 / $141.82	Professional		$56.98	$89.85	$141.82
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 $86.22 / $113.69 / $181.69	Professional		$86.22	$113.69	$181.69