Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $1,047.00 / $4,004.48	Facility		$87.39	$1,047.00	$4,004.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $978.36 / $978.36 / $1,777.88	Facility	50	$978.36	$978.36	$1,777.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $172.53 / $419.11	Professional		$54.30	$172.53	$419.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.45 / $403.02 / $471.06	Professional	50	$81.45	$403.02	$471.06
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 $70.54 / $157.41 / $293.57	Professional		$70.54	$157.41	$293.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $156.47 / $333.21	Professional		$67.67	$156.47	$333.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $342.41	Professional		$32.34	$32.34	$342.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $189.94 / $251.63	Facility		$51.50	$189.94	$251.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $156.47 / $422.94	Professional		$69.38	$156.47	$422.94
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 $209.41 / $282.47 / $394.20	Professional		$209.41	$282.47	$394.20