Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $2,350.00 / $3,558.82	Facility		$246.40	$2,350.00	$3,558.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $650.97 / $650.97 / $2,706.64	Facility	50	$650.97	$650.97	$2,706.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.65 / $21.65 / $49.28	Facility	53	$21.65	$21.65	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $219.71 / $510.93	Professional		$95.09	$219.71	$510.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.80 / $442.75 / $885.64	Professional	50	$260.80	$442.75	$885.64
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.48 / $42.53 / $97.43	Professional	53	$19.48	$42.53	$97.43
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 $120.70 / $201.16 / $427.85	Professional		$120.70	$201.16	$427.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $207.79 / $435.99	Professional		$116.00	$207.79	$435.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.18 / $360.93	Professional		$32.34	$68.18	$360.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.46 / $181.65 / $478.93	Facility		$97.46	$181.65	$478.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $264.04 / $450.91	Professional		$116.35	$264.04	$450.91
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 $259.76 / $376.21 / $541.95	Professional		$259.76	$376.21	$541.95