Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.10 / $2,145.78 / $7,838.38	Facility		$169.10	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,601.50 / $3,601.50 / $3,601.50	Facility	50	$3,601.50	$3,601.50	$3,601.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $168.56 / $399.15	Professional		$64.23	$168.56	$399.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.86 / $403.43 / $659.15	Professional	50	$252.86	$403.43	$659.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $148.09 / $229.80	Professional		$88.85	$148.09	$229.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $176.67 / $310.92	Professional		$83.86	$176.67	$310.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $244.81	Professional		$32.34	$32.34	$244.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $161.41 / $307.48	Facility		$75.48	$161.41	$307.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $200.03 / $313.76	Professional		$90.00	$200.03	$313.76
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 $183.68 / $252.00 / $387.67	Professional		$183.68	$252.00	$387.67