Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $1,000.00 / $3,337.06	Facility		$75.80	$1,000.00	$3,337.06
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,707.48 / $1,788.77 / $2,361.19	Facility	50	$1,707.48	$1,788.77	$2,361.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $79.30 / $272.56	Professional		$46.94	$79.30	$272.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.41 / $148.52 / $408.83	Professional	50	$70.41	$148.52	$408.83
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 $44.75 / $74.59 / $122.16	Professional		$44.75	$74.59	$122.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $97.79 / $158.85	Professional		$60.50	$97.79	$158.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $32.34 / $136.46	Professional		$25.51	$32.34	$136.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $79.30 / $131.91	Facility		$44.49	$79.30	$131.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $98.19 / $173.41	Professional		$63.13	$98.19	$173.41
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $27.12 / $32.14 / $52.70	Professional	80	$27.12	$32.14	$52.70
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 $104.06 / $132.08 / $204.94	Professional		$104.06	$132.08	$204.94