Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $794.33 / $7,762.47	Facility		$154.88	$794.33	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $380.19 / $912.01	Professional		$107.15	$380.19	$912.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $575.44 / $588.84	Professional	50	$575.44	$575.44	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $446.68 / $741.31	Professional		$131.83	$446.68	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $912.01	Professional		$128.82	$275.42	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $407.38 / $1,148.15	Facility		$131.83	$407.38	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $1,096.48	Professional		$138.04	$288.40	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $323.59 / $1,047.13	Professional		$141.25	$323.59	$1,047.13