Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $736.44 / $2,145.78	Facility		$74.70	$736.44	$2,145.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.00 / $954.00 / $6,221.70	Facility	50	$954.00	$954.00	$6,221.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $74.70 / $200.18	Professional		$57.10	$74.70	$200.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $492.00 / $492.00 / $502.50	Professional	50	$492.00	$492.00	$502.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.33 / $1,338.62 / $2,248.60	Facility		$376.33	$1,338.62	$2,248.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $73.18 / $109.76	Professional		$43.91	$73.18	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $108.29 / $174.19	Professional		$61.30	$108.29	$174.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $32.34 / $110.89	Professional		$21.07	$32.34	$110.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $83.34 / $143.37	Facility		$40.22	$83.34	$143.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $111.87 / $176.03	Professional		$65.65	$111.87	$176.03
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $126.45 / $188.80	Professional		$93.07	$126.45	$188.80