Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.45 / $4,924.50 / $9,868.60	Facility		$1,385.45	$4,924.50	$9,868.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.43 / $112.43 / $692.73	Facility	52	$112.43	$112.43	$692.73
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.97 / $44.97 / $277.08	Facility	53	$44.97	$44.97	$277.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $368.93 / $1,637.78	Professional		$234.72	$368.93	$1,637.78
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $42.30 / $73.79 / $327.56	Professional	53	$42.30	$73.79	$327.56
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 $224.60 / $369.25 / $1,669.40	Professional		$224.60	$369.25	$1,669.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $462.44 / $1,821.62	Professional		$312.00	$462.44	$1,821.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,075.13 / $1,816.77	Professional		$32.34	$1,075.13	$1,816.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.58 / $405.38 / $459.32	Facility		$292.58	$405.38	$459.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $462.44 / $2,201.54	Professional		$312.00	$462.44	$2,201.54
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 $395.60 / $942.46 / $2,787.54	Professional		$395.60	$942.46	$2,787.54