Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $1,257.04 / $3,313.90	Facility		$90.80	$1,257.04	$3,313.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $611.91 / $611.91 / $611.91	Facility	50	$611.91	$611.91	$611.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $124.12 / $559.00	Professional		$68.87	$124.12	$559.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.44 / $2,637.86 / $4,229.41	Facility		$1,140.44	$2,637.86	$4,229.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $130.13 / $251.74	Professional		$67.76	$130.13	$251.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $147.80 / $245.62	Professional		$86.00	$147.80	$245.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $144.97 / $256.50	Professional		$32.34	$144.97	$256.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $129.61 / $184.51	Facility		$79.18	$129.61	$184.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $147.80 / $295.43	Professional		$86.00	$147.80	$295.43
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 $153.18 / $192.40 / $287.55	Professional		$153.18	$192.40	$287.55