Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.46 / $1,000.00 / $7,838.38	Facility		$131.46	$1,000.00	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $370.60 / $370.60 / $370.60	Facility	50	$370.60	$370.60	$370.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $115.48 / $227.14	Professional		$95.89	$115.48	$227.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.54 / $684.75 / $834.00	Professional	50	$162.54	$684.75	$834.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.33 / $1,000.73 / $1,681.01	Facility		$281.33	$1,000.73	$1,681.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $138.13 / $216.11	Professional		$69.94	$138.13	$216.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $164.96 / $231.70	Professional		$103.10	$164.96	$231.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $200.52	Professional		$32.34	$32.34	$200.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.14 / $132.06 / $184.21	Facility		$98.14	$132.06	$184.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $175.27 / $282.75	Professional		$118.56	$175.27	$282.75
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 $137.52 / $191.00 / $274.92	Professional		$137.52	$191.00	$274.92