Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.29 / $1,460.72 / $7,838.38	Facility		$556.29	$1,460.72	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $394.07 / $394.07 / $417.23	Facility	54	$394.07	$394.07	$417.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $567.14 / $1,211.22	Professional		$499.55	$567.14	$1,211.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $519.96 / $519.96 / $551.13	Professional		$519.96	$519.96	$551.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.77 / $1,777.55 / $2,703.05	Facility		$484.77	$1,777.55	$2,703.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $656.59 / $954.27	Professional		$291.82	$656.59	$954.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.53 / $817.02 / $1,001.14	Professional		$534.53	$817.02	$1,001.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $155.07 / $856.58	Professional		$32.34	$155.07	$856.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.36 / $596.04 / $820.96	Facility		$477.36	$596.04	$820.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.65 / $870.77 / $1,276.00	Professional		$569.65	$870.77	$1,276.00
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.67 / $806.05 / $1,096.45	Professional		$605.67	$806.05	$1,096.45