Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $164.79 / $7,838.38	Facility		$116.45	$164.79	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $69.87 / $115.98 / $115.98	Facility	50	$69.87	$115.98	$115.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.20 / $17.20 / $24.88	Facility	52	$17.20	$17.20	$24.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $47.03 / $161.00	Professional		$29.28	$47.03	$161.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.84 / $237.77 / $274.50	Professional	50	$74.84	$237.77	$274.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.64 / $22.15 / $38.45	Professional	52	$14.64	$22.15	$38.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $263.99 / $455.52	Facility		$113.34	$263.99	$455.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $49.02 / $70.86	Professional		$32.38	$49.02	$70.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $59.60 / $93.92	Professional		$38.92	$59.60	$93.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $40.81 / $72.88	Professional		$13.60	$40.81	$72.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $50.18 / $70.53	Facility		$34.61	$50.18	$70.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $59.60 / $93.92	Professional		$39.74	$59.60	$93.92
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $74.95 / $110.16	Professional		$57.50	$74.95	$110.16