Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.26 / $2,430.84 / $2,711.55	Facility		$155.26	$2,430.84	$2,711.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,128.59 / $1,128.59 / $2,865.50	Facility	50	$1,128.59	$1,128.59	$2,865.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $175.65 / $329.15	Professional		$98.04	$175.65	$329.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.04 / $175.54 / $837.24	Professional	50	$98.04	$175.54	$837.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,589.53 / $4,349.85	Facility		$728.01	$2,589.53	$4,349.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $161.62 / $257.39	Professional		$96.97	$161.62	$257.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $205.77 / $334.17	Professional		$125.97	$205.77	$334.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $268.77	Professional		$32.34	$32.34	$268.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $167.87 / $294.47	Facility		$92.43	$167.87	$294.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $218.48 / $368.22	Professional		$131.44	$218.48	$368.22
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 $233.07 / $315.88 / $471.55	Professional		$233.07	$315.88	$471.55