Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $7,762.47	Facility		$660.69	$1,000.00	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,288.25	Professional		$524.81	$724.44	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $724.44 / $1,380.38	Professional	50	$630.96	$724.44	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $9,549.93 / $15,135.61	Facility		$3,311.31	$9,549.93	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $912.01	Professional		$537.03	$758.58	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,096.48	Professional		$446.68	$758.58	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $109.65 / $912.01	Professional		$32.36	$109.65	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $1,023.29	Facility		$501.19	$691.83	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $977.24	Professional		$398.11	$724.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $10,471.29	Facility		$645.65	$6,025.60	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,071.52	Professional		$537.03	$776.25	$1,071.52