Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.76 / $215.83 / $7,838.38	Facility		$121.76	$215.83	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.03 / $31.03 / $50.89	Facility	52	$31.03	$31.03	$50.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.41 / $12.41 / $20.36	Facility	53	$12.41	$12.41	$20.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $104.61 / $333.56	Professional		$77.15	$104.61	$333.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.12 / $48.56 / $80.59	Professional	52	$29.12	$48.56	$80.59
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $11.65 / $19.42 / $32.24	Professional	53	$11.65	$19.42	$32.24
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 $60.82 / $101.36 / $150.59	Professional		$60.82	$101.36	$150.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $135.49 / $205.10	Professional		$93.88	$135.49	$205.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $86.72 / $152.75	Professional		$28.90	$86.72	$152.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $117.33 / $164.67	Facility		$92.19	$117.33	$164.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $135.49 / $205.10	Professional		$93.88	$135.49	$205.10
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 $125.52 / $161.69 / $226.80	Professional		$125.52	$161.69	$226.80