Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $2,145.78 / $7,838.38	Facility		$157.47	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $129.96 / $294.18	Professional		$97.29	$129.96	$294.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.28 / $366.25 / $1,160.29	Professional	50	$239.28	$366.25	$1,160.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.25 / $1,196.29 / $1,949.34	Facility		$326.25	$1,196.29	$1,949.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $154.79 / $210.31	Professional		$76.39	$154.79	$210.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $179.86 / $258.43	Professional		$106.70	$179.86	$258.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $163.49 / $221.52	Professional		$32.34	$163.49	$221.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $153.02 / $194.80	Facility		$112.00	$153.02	$194.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $174.24 / $258.43	Professional		$109.16	$174.24	$258.43
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $197.40 / $256.19	Professional		$151.44	$197.40	$256.19