Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,225.94 / $4,723.78 / $7,657.20	Facility		$3,225.94	$4,723.78	$7,657.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,226.75 / $5,373.58 / $10,767.00	Facility	50	$5,226.75	$5,373.58	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $445.70 / $1,805.00	Professional		$361.88	$445.70	$1,805.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,860.32 / $15,811.44 / $25,447.84	Facility		$2,860.32	$15,811.44	$25,447.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.31 / $531.29 / $685.94	Professional		$383.31	$531.29	$685.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $493.18 / $3,388.59	Facility		$493.18	$493.18	$3,388.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.09 / $615.66 / $790.38	Professional		$452.09	$615.66	$790.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $685.87	Professional		$32.34	$32.34	$685.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.90 / $506.98 / $731.22	Facility		$404.90	$506.98	$731.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.01 / $656.70 / $1,131.00	Professional		$472.01	$656.70	$1,131.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,002.00 / $15,131.00 / $16,269.00	Facility		$2,002.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.00 / $624.25 / $912.50	Professional		$449.00	$624.25	$912.50