Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.96 / $2,403.98 / $7,838.38	Facility		$255.96	$2,403.98	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $162.88 / $400.90	Professional		$137.16	$162.88	$400.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $188.40 / $943.50 / $1,054.50	Professional	50	$188.40	$943.50	$1,054.50
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 $154.13 / $191.69 / $287.64	Professional		$154.13	$191.69	$287.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $242.02 / $304.02	Professional		$185.55	$242.02	$304.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $229.01 / $343.51	Professional		$32.34	$229.01	$343.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.37 / $229.56 / $243.16	Facility		$180.37	$229.56	$243.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $242.02 / $304.02	Professional		$185.55	$242.02	$304.02
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 $192.61 / $248.59 / $366.11	Professional		$192.61	$248.59	$366.11