Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.87 / $2,145.78 / $7,838.38	Facility		$316.87	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.72 / $226.72 / $237.65	Facility	54	$226.72	$226.72	$237.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $287.41 / $476.79	Professional		$251.28	$287.41	$476.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.77 / $1,724.33 / $2,604.83	Facility		$484.77	$1,724.33	$2,604.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $377.16 / $548.64	Professional		$128.53	$377.16	$548.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $428.22 / $551.79	Professional		$269.50	$428.22	$551.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.07 / $450.59	Professional		$32.34	$54.07	$450.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $329.43 / $442.00	Facility		$274.83	$329.43	$442.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.92 / $448.14 / $733.72	Professional		$309.92	$448.14	$733.72
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.44 / $444.49 / $646.20	Professional		$302.44	$444.49	$646.20