Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $2,145.78 / $7,838.38	Facility		$60.05	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.03 / $30.03 / $30.03	Facility	52	$30.03	$30.03	$30.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $75.55 / $325.79	Professional		$56.95	$75.55	$325.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,669.47 / $4,349.85	Facility		$728.01	$2,669.47	$4,349.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $82.15 / $292.31	Professional		$76.88	$82.15	$292.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $116.54 / $168.56	Professional		$69.25	$116.54	$168.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.74	Professional		$32.34	$32.34	$101.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.42 / $129.03 / $229.68	Facility		$62.42	$129.03	$229.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $119.93 / $162.87	Professional		$70.62	$119.93	$162.87
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 $80.55 / $124.00 / $206.64	Professional		$80.55	$124.00	$206.64