Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $7,838.38 / $8,763.29	Facility		$215.17	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $193.84 / $688.34	Professional		$123.56	$193.84	$688.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,219.44 / $1,342.50 / $1,410.00	Professional	50	$1,219.44	$1,342.50	$1,410.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,667.74 / $4,469.18	Facility		$1,112.02	$2,667.74	$4,469.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $197.29 / $284.33	Professional		$121.89	$197.29	$284.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $231.77 / $350.98	Professional		$154.16	$231.77	$350.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $169.54 / $299.83	Professional		$32.34	$169.54	$299.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $181.44 / $272.68	Facility		$125.67	$181.44	$272.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $231.77 / $372.37	Professional		$154.16	$231.77	$372.37
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.86 / $309.08 / $455.21	Professional		$225.86	$309.08	$455.21