Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.98 / $1,965.00 / $3,546.23	Facility		$280.98	$1,965.00	$3,546.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,001.12 / $1,431.00 / $5,436.50	Facility	50	$1,001.12	$1,431.00	$5,436.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $403.00 / $835.20	Professional		$203.55	$403.00	$835.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $293.02 / $1,252.80 / $2,799.00	Professional	50	$293.02	$1,252.80	$2,799.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.04 / $4,634.89 / $7,785.63	Facility		$1,303.04	$4,634.89	$7,785.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $384.16 / $558.51	Professional		$230.50	$384.16	$558.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.99 / $397.32 / $773.67	Professional		$238.99	$397.32	$773.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $642.50	Professional		$32.34	$32.34	$642.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.84 / $361.04 / $604.83	Facility		$168.84	$361.04	$604.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.04 / $464.75 / $802.57	Professional		$260.04	$464.75	$802.57
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 $481.34 / $653.01 / $949.59	Professional		$481.34	$653.01	$949.59