Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $1,229.52 / $2,145.78	Facility		$87.85	$1,229.52	$2,145.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,373.58 / $1,373.58 / $1,373.58	Facility	50	$1,373.58	$1,373.58	$1,373.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $87.28 / $226.24	Professional		$55.09	$87.28	$226.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.64 / $99.42 / $452.01	Professional	50	$82.64	$99.42	$452.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $919.20 / $1,544.06	Facility		$258.42	$919.20	$1,544.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $82.29 / $131.22	Professional		$49.37	$82.29	$131.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $106.48 / $169.55	Professional		$71.31	$106.48	$169.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $32.34 / $137.02	Professional		$27.40	$32.34	$137.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $85.41 / $146.49	Facility		$52.04	$85.41	$146.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $113.41 / $185.27	Professional		$73.84	$113.41	$185.27
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $149.59 / $220.31	Professional		$104.91	$149.59	$220.31