Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.37 / $272.92 / $2,145.78	Facility		$102.37	$272.92	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $93.17 / $270.60	Professional		$50.28	$93.17	$270.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $568.50 / $568.50 / $568.50	Professional	50	$568.50	$568.50	$568.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.12 / $659.49 / $1,145.90	Facility		$285.12	$659.49	$1,145.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $88.49 / $185.90	Professional		$53.09	$88.49	$185.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $107.29 / $275.99	Professional		$74.64	$107.29	$275.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $130.22 / $238.74	Professional		$32.34	$130.22	$238.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $104.02 / $147.74	Facility		$63.65	$104.02	$147.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $107.29 / $275.99	Professional		$69.02	$107.29	$275.99
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 $117.45 / $172.50 / $287.83	Professional		$117.45	$172.50	$287.83