Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $2,095.00 / $7,838.38	Facility		$282.60	$2,095.00	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $297.45 / $297.45 / $328.94	Facility	54	$297.45	$297.45	$328.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.99 / $438.59 / $734.49	Professional		$360.99	$438.59	$734.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $616.75 / $1,001.38	Facility		$167.59	$616.75	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.06 / $480.50 / $709.91	Professional		$225.06	$480.50	$709.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.05 / $579.20 / $757.93	Professional		$376.05	$579.20	$757.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $74.73 / $622.79	Professional		$32.34	$74.73	$622.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.62 / $446.58 / $581.34	Facility		$308.62	$446.58	$581.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.47 / $606.34 / $988.92	Professional		$423.47	$606.34	$988.92
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 $447.20 / $598.28 / $859.27	Professional		$447.20	$598.28	$859.27