Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.12 / $1,809.44 / $7,297.51	Facility		$281.12	$1,809.44	$7,297.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,574.14 / $5,562.93 / $5,562.93	Facility	50	$1,574.14	$5,562.93	$5,562.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $410.04 / $980.81	Professional		$207.72	$410.04	$980.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $280.01 / $315.20 / $2,780.00	Professional	50	$280.01	$315.20	$2,780.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.06 / $2,685.73 / $4,511.45	Facility		$755.06	$2,685.73	$4,511.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.31 / $388.74 / $722.16	Professional		$230.31	$388.74	$722.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $403.85 / $767.14	Professional		$238.84	$403.85	$767.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.67 / $605.61	Professional		$32.34	$72.67	$605.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.81 / $366.14 / $615.50	Facility		$168.81	$366.14	$615.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $466.46 / $816.70	Professional		$265.39	$466.46	$816.70
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.67 / $677.80 / $956.89	Professional		$486.67	$677.80	$956.89