Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.29 / $2,145.78 / $7,838.38	Facility		$550.29	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.33 / $377.33 / $412.73	Facility	54	$377.33	$377.33	$412.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.87 / $500.57 / $818.62	Professional		$450.87	$500.57	$818.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.01 / $6,440.74 / $9,994.48	Facility		$1,860.01	$6,440.74	$9,994.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $615.40 / $892.41	Professional		$281.25	$615.40	$892.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.71 / $743.10 / $958.50	Professional		$497.71	$743.10	$958.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.97 / $783.15	Professional		$32.34	$93.97	$783.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $575.08 / $740.61	Facility		$490.00	$575.08	$740.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $773.75 / $1,259.52	Professional		$541.79	$773.75	$1,259.52
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.12 / $766.00 / $1,085.18	Professional		$555.12	$766.00	$1,085.18