Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.97 / $1,031.63 / $3,148.26	Facility		$98.97	$1,031.63	$3,148.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,447.63 / $2,447.63 / $2,447.63	Facility	50	$2,447.63	$2,447.63	$2,447.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $191.53 / $445.34	Professional		$62.37	$191.53	$445.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $97.94 / $287.30	Professional	50	$93.56	$97.94	$287.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.88 / $938.62 / $1,576.68	Facility		$263.88	$938.62	$1,576.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $173.49 / $401.99	Professional		$80.69	$173.49	$401.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $173.89 / $355.52	Professional		$76.64	$173.89	$355.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.96 / $349.71	Professional		$32.34	$41.96	$349.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $208.48 / $279.86	Facility		$58.54	$208.48	$279.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $175.25 / $448.70	Professional		$79.79	$175.25	$448.70
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 $218.12 / $309.72 / $437.67	Professional		$218.12	$309.72	$437.67