Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.03 / $7,838.38 / $8,763.29	Facility		$220.03	$7,838.38	$8,763.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,453.28 / $8,426.25 / $12,037.50	Facility	50	$2,453.28	$8,426.25	$12,037.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $154.10 / $767.00	Professional		$139.41	$154.10	$767.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $248.49 / $826.68 / $1,225.50	Professional	50	$248.49	$826.68	$1,225.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,204.67 / $5,802.00 / $9,302.62	Facility		$2,204.67	$5,802.00	$9,302.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $195.89 / $287.57	Professional		$154.52	$195.89	$287.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $239.96 / $303.31	Professional		$183.97	$239.96	$303.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $228.70 / $343.05	Professional		$32.34	$228.70	$343.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.83 / $214.87 / $238.35	Facility		$168.83	$214.87	$238.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $239.96 / $303.31	Professional		$183.97	$239.96	$303.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $253.89 / $362.88	Professional		$188.10	$253.89	$362.88