Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $2,145.78 / $7,838.38	Facility		$229.60	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,502.80 / $2,502.80 / $2,502.80	Facility	50	$2,502.80	$2,502.80	$2,502.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $195.57 / $301.45	Professional		$74.51	$195.57	$301.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.08 / $298.08 / $298.85	Professional	50	$298.08	$298.08	$298.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.57 / $3,437.90 / $5,602.01	Facility		$937.57	$3,437.90	$5,602.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $182.17 / $369.71	Professional		$97.98	$182.17	$369.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $169.86 / $366.95	Professional		$88.51	$169.86	$366.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $313.73	Professional		$32.34	$32.34	$313.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $128.93 / $248.40	Facility		$71.97	$128.93	$248.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $202.80 / $401.33	Professional		$88.51	$202.80	$401.33
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 $245.59 / $311.48 / $473.22	Professional		$245.59	$311.48	$473.22