Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.24 / $890.80 / $5,752.23	Facility		$531.24	$890.80	$5,752.23
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.74 / $29.74 / $61.97	Facility	52	$29.74	$29.74	$61.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $123.93 / $246.34	Professional		$61.96	$123.93	$246.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.33 / $1,379.95 / $2,074.94	Facility		$376.33	$1,379.95	$2,074.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $143.13 / $206.35	Professional		$78.47	$143.13	$206.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $136.41 / $255.59	Professional		$77.95	$136.41	$255.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $204.80	Professional		$32.34	$32.34	$204.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $126.98 / $230.69	Facility		$55.90	$126.98	$230.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $151.06 / $276.06	Professional		$88.38	$151.06	$276.06
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $218.91 / $321.58	Professional		$171.15	$218.91	$321.58