Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.18 / $1,349.48 / $3,428.82	Facility		$131.18	$1,349.48	$3,428.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,280.11 / $1,791.90 / $5,143.22	Facility	50	$1,280.11	$1,791.90	$5,143.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $157.28 / $306.24	Professional		$82.95	$157.28	$306.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.22 / $293.92 / $713.91	Professional	50	$62.22	$293.92	$713.91
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 $90.13 / $150.21 / $236.07	Professional		$90.13	$150.21	$236.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $172.75 / $303.54	Professional		$105.86	$172.75	$303.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.30 / $264.29	Professional		$32.34	$49.30	$264.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $147.29 / $261.87	Facility		$79.77	$147.29	$261.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $194.29 / $330.31	Professional		$110.46	$194.29	$330.31
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $52.85 / $64.03 / $101.89	Professional	80	$52.85	$64.03	$101.89
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 $211.99 / $285.94 / $428.41	Professional		$211.99	$285.94	$428.41