Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,548.82 / $8,511.38	Facility		$199.53	$1,548.82	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $4,677.35 / $12,022.64	Facility	50	$2,454.71	$4,677.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $794.33	Professional		$138.04	$173.78	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $831.76 / $1,202.26	Professional	50	$251.19	$831.76	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,165.95 / $9,772.37	Facility		$2,511.89	$6,165.95	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $288.40	Professional		$177.83	$190.55	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $309.03	Professional		$181.97	$239.88	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $389.05	Facility		$169.82	$239.88	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $309.03	Professional		$177.83	$234.42	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,265.80 / $6,760.83	Facility		$562.34	$4,265.80	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $363.08	Professional		$177.83	$234.42	$363.08