Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.76 / $1,047.00 / $7,838.38	Facility		$192.76	$1,047.00	$7,838.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.41 / $16.41 / $38.54	Facility	53	$16.41	$16.41	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $160.15 / $288.08	Professional		$76.23	$160.15	$288.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $166.14 / $308.74	Professional		$99.50	$166.14	$308.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $159.93 / $332.13	Professional		$90.67	$159.93	$332.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $258.91	Professional		$32.34	$32.34	$258.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $210.46 / $339.98	Facility		$87.79	$210.46	$339.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $207.90 / $442.35	Professional		$99.04	$207.90	$442.35
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $311.30 / $455.03	Professional		$204.27	$311.30	$455.03