Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.23 / $2,145.78 / $7,838.38	Facility		$255.23	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.37 / $177.37 / $191.42	Facility	54	$177.37	$177.37	$191.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $236.49 / $440.00	Professional		$209.50	$236.49	$440.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $614.54 / $1,001.38	Facility		$167.59	$614.54	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $286.06 / $410.42	Professional		$132.05	$286.06	$410.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.38 / $339.52 / $433.64	Professional		$231.38	$339.52	$433.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.02 / $358.51	Professional		$32.34	$43.02	$358.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.45 / $255.06 / $335.90	Facility		$216.45	$255.06	$335.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.62 / $358.64 / $582.10	Professional		$244.62	$358.64	$582.10
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,084.00 / $1,401.00	Facility		$230.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $365.39 / $498.97	Professional		$263.77	$365.39	$498.97