Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.29 / $2,095.00 / $7,838.38	Facility		$650.29	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.62 / $717.22 / $1,381.58	Professional		$562.62	$717.22	$1,381.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $288.10 / $4,938.00	Professional	50	$288.10	$288.10	$4,938.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,723.43 / $8,355.23 / $13,396.33	Facility		$2,723.43	$8,355.23	$13,396.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.33 / $988.03 / $1,407.54	Professional		$464.33	$988.03	$1,407.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.02 / $1,158.68 / $1,463.06	Professional		$763.02	$1,158.68	$1,463.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $708.23 / $1,273.32	Professional		$32.34	$708.23	$1,273.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.30 / $933.25 / $1,260.38	Facility		$675.30	$933.25	$1,260.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $763.02 / $1,158.68 / $1,539.02	Professional		$763.02	$1,158.68	$1,539.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.17 / $1,288.04 / $1,929.41	Professional		$964.17	$1,288.04	$1,929.41