Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $784.90 / $2,095.00	Facility		$113.70	$784.90	$2,095.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $503.85 / $503.85 / $503.85	Facility	50	$503.85	$503.85	$503.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $68.48 / $131.27	Professional		$42.71	$68.48	$131.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $99.29 / $99.29	Professional	50	$99.29	$99.29	$99.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $1,126.48 / $1,892.25	Facility		$316.69	$1,126.48	$1,892.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $67.97 / $121.24	Professional		$40.78	$67.97	$121.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $78.12 / $127.87	Professional		$51.10	$78.12	$127.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.67	Professional		$32.34	$32.34	$125.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $68.73 / $88.67	Facility		$41.88	$68.73	$88.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $84.26 / $157.94	Professional		$53.33	$84.26	$157.94
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 $84.05 / $110.70 / $161.96	Professional		$84.05	$110.70	$161.96