Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.13 / $2,095.00 / $7,838.38	Facility		$265.13	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $237.65 / $456.70	Professional		$114.69	$237.65	$456.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $171.84 / $675.00	Professional	50	$171.84	$171.84	$675.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,518.91 / $3,911.84	Facility		$728.01	$2,518.91	$3,911.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $217.10 / $572.10	Professional		$130.26	$217.10	$572.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $240.20 / $465.04	Professional		$141.66	$240.20	$465.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.79 / $393.19	Professional		$32.34	$73.79	$393.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $214.40 / $479.15	Facility		$114.69	$214.40	$479.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $294.86 / $486.42	Professional		$148.69	$294.86	$486.42
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 $265.98 / $384.00 / $579.07	Professional		$265.98	$384.00	$579.07