Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,530.32 / $7,838.38	Facility		$1,000.00	$1,530.32	$7,838.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.03 / $10.03 / $22.33	Facility	53	$10.03	$10.03	$22.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $96.65 / $239.95	Professional		$46.62	$96.65	$239.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $130.49 / $204.41	Professional	50	$69.93	$130.49	$204.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.33 / $1,338.62 / $2,074.94	Facility		$376.33	$1,338.62	$2,074.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $81.38 / $180.43	Professional		$48.83	$81.38	$180.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $98.49 / $196.25	Professional		$60.13	$98.49	$196.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $32.34 / $162.97	Professional		$30.95	$32.34	$162.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $94.03 / $231.03	Facility		$44.27	$94.03	$231.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $118.22 / $211.00	Professional		$60.13	$118.22	$211.00
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 $125.80 / $170.03 / $249.84	Professional		$125.80	$170.03	$249.84