Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.06 / $2,095.00 / $7,838.38	Facility		$395.06	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $277.20 / $700.33	Professional		$240.67	$277.20	$700.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,232.86 / $1,232.86 / $1,849.31	Professional	50	$1,232.86	$1,232.86	$1,849.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,959.63 / $9,881.04 / $15,842.73	Facility		$2,959.63	$9,881.04	$15,842.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $365.22 / $638.44	Professional		$157.21	$365.22	$638.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $434.61 / $773.37	Professional		$316.64	$434.61	$773.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $367.66 / $919.15	Professional		$32.34	$367.66	$919.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $396.82 / $418.37	Facility		$311.77	$396.82	$418.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $436.26 / $773.37	Professional		$316.64	$436.26	$773.37
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 $337.64 / $478.16 / $843.78	Professional		$337.64	$478.16	$843.78