Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $153.41 / $338.76	Facility		$68.88	$153.41	$338.76
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.44 / $76.70 / $169.38	Facility	52	$34.44	$76.70	$169.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $153.41 / $271.01	Professional		$79.43	$153.41	$271.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.24 / $1,209.82 / $1,971.39	Facility		$476.24	$1,209.82	$1,971.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $112.43 / $196.72	Professional		$54.72	$112.43	$196.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Facility		$124.64	$124.64	$124.64
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $154.16 / $306.20	Professional		$94.86	$154.16	$306.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.03	Professional		$32.34	$32.34	$225.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $164.34 / $390.58	Facility		$72.48	$164.34	$390.58
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $201.26 / $361.44	Professional		$98.91	$201.26	$361.44
United Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $294.26 / $419.49	Professional		$192.51	$294.26	$419.49