Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.82 / $3,871.18 / $6,297.60	Facility		$142.82	$3,871.18	$6,297.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,310.75 / $3,310.75 / $3,310.75	Facility	50	$3,310.75	$3,310.75	$3,310.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $126.56 / $538.00	Professional		$121.35	$126.56	$538.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $168.54 / $293.77	Professional		$130.96	$168.54	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $204.69 / $254.00	Professional		$156.88	$204.69	$254.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.27 / $217.10	Professional		$32.34	$40.27	$217.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $146.13 / $156.88	Facility		$146.13	$146.13	$156.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $204.69 / $254.00	Professional		$156.88	$204.69	$254.00
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.84 / $222.20 / $318.36	Professional		$185.84	$222.20	$318.36