Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $2,040.00 / $7,838.38	Facility		$530.41	$2,040.00	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,692.17 / $3,692.17 / $3,692.17	Facility	50	$3,692.17	$3,692.17	$3,692.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.84 / $794.07 / $2,677.20	Professional		$490.84	$794.07	$2,677.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,713.73 / $9,396.91 / $14,581.75	Facility		$2,713.73	$9,396.91	$14,581.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.11 / $672.78 / $1,004.57	Professional		$323.11	$672.78	$1,004.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $3,800.00	Facility		$3,800.00	$3,800.00	$3,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $764.02 / $1,109.22	Professional		$448.00	$764.02	$1,109.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $544.29 / $1,224.67	Professional		$32.34	$544.29	$1,224.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.04 / $654.27 / $853.22	Facility		$494.04	$654.27	$853.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.28 / $759.73 / $1,109.22	Professional		$453.28	$759.73	$1,109.22
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $5,971.00 / $8,422.00	Facility		$639.00	$5,971.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $884.94 / $1,287.85	Professional		$659.00	$884.94	$1,287.85