Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.62 / $2,095.00 / $7,838.38	Facility		$503.62	$2,095.00	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.86 / $336.86 / $377.72	Facility	54	$336.86	$336.86	$377.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.76 / $503.62 / $1,022.41	Professional		$411.76	$503.62	$1,022.41
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 $264.38 / $565.72 / $809.72	Professional		$264.38	$565.72	$809.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.33 / $662.37 / $875.03	Professional		$434.33	$662.37	$875.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.84 / $723.67	Professional		$32.34	$86.84	$723.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.38 / $533.35 / $680.00	Facility		$441.38	$533.35	$680.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.92 / $695.64 / $1,137.33	Professional		$480.92	$695.64	$1,137.33
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 $516.00 / $710.49 / $1,080.00	Professional		$516.00	$710.49	$1,080.00