Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $5,789.68 / $9,447.56	Facility		$1,378.00	$5,789.68	$9,447.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $280.31 / $491.64	Professional		$166.27	$280.31	$491.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,243.51 / $1,243.51 / $1,243.51	Professional	50	$1,243.51	$1,243.51	$1,243.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.73 / $7,310.68 / $11,721.56	Facility		$2,189.73	$7,310.68	$11,721.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $245.47 / $431.50	Professional		$143.66	$245.47	$431.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $342.11 / $550.36	Professional		$217.75	$342.11	$550.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $217.12 / $542.79	Professional		$32.34	$217.12	$542.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.38 / $331.22 / $463.87	Facility		$201.38	$331.22	$463.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $342.11 / $550.36	Professional		$217.75	$342.11	$550.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.05 / $441.00 / $584.02	Professional		$344.05	$441.00	$584.02