Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.30 / $2,063.25 / $7,838.38	Facility		$206.30	$2,063.25	$7,838.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.39 / $29.39 / $73.84	Facility	53	$29.39	$29.39	$73.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $280.14 / $658.89	Professional		$149.84	$280.14	$658.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.32 / $7,626.43 / $12,227.81	Facility		$2,284.32	$7,626.43	$12,227.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.32 / $217.68 / $448.84	Professional		$176.32	$217.68	$448.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.35 / $318.14 / $532.55	Professional		$223.35	$318.14	$532.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $300.67 / $506.28	Professional		$32.34	$300.67	$506.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.36 / $260.08 / $347.39	Facility		$204.36	$260.08	$347.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.35 / $318.14 / $609.16	Professional		$223.35	$318.14	$609.16
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 $298.91 / $448.35 / $722.85	Professional		$298.91	$448.35	$722.85