Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,824.47 / $7,655.48 / $12,435.00	Facility		$4,824.47	$7,655.48	$12,435.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,684.20 / $7,340.84 / $7,340.84	Facility	50	$6,684.20	$7,340.84	$7,340.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $429.45 / $1,644.00	Professional		$404.20	$429.45	$1,644.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,635.73 / $15,919.19 / $26,668.88	Facility		$6,635.73	$15,919.19	$26,668.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.13 / $497.82 / $821.39	Professional		$400.13	$497.82	$821.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $604.60 / $754.43	Professional		$390.00	$604.60	$754.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $594.73 / $642.12	Professional		$32.34	$594.73	$642.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.67 / $506.67 / $506.67	Facility		$506.67	$506.67	$506.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.39 / $596.60 / $754.43	Professional		$457.39	$596.60	$754.43
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.03 / $658.89 / $934.57	Professional		$538.03	$658.89	$934.57