Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.93 / $2,095.00 / $7,838.38	Facility		$222.93	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $190.35 / $340.37	Professional		$77.04	$190.35	$340.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $119.91 / $630.38 / $630.38	Professional	50	$119.91	$630.38	$630.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.57 / $3,334.95 / $5,602.01	Facility		$937.57	$3,334.95	$5,602.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $183.93 / $323.70	Professional		$98.73	$183.93	$323.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $172.61 / $370.53	Professional		$91.10	$172.61	$370.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $133.09 / $250.93	Facility		$72.26	$133.09	$250.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $209.00 / $405.35	Professional		$91.10	$209.00	$405.35
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 $248.05 / $314.60 / $477.95	Professional		$248.05	$314.60	$477.95