Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.15 / $2,145.78 / $7,838.38	Facility		$733.15	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $474.75 / $474.75 / $549.86	Facility	54	$474.75	$474.75	$549.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $633.00 / $1,636.00	Professional		$517.96	$633.00	$1,636.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $474.75 / $716.25 / $2,737.34	Professional	54	$474.75	$716.25	$2,737.34
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $94.95 / $143.25 / $547.47	Professional	55	$94.95	$143.25	$547.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,642.88 / $5,688.84 / $8,827.71	Facility		$1,642.88	$5,688.84	$8,827.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.86 / $807.51 / $1,031.31	Professional		$317.86	$807.51	$1,031.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.26 / $872.57 / $1,186.71	Professional		$475.26	$872.57	$1,186.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $578.83 / $1,115.50	Professional		$32.34	$578.83	$1,115.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.28 / $669.14 / $875.00	Facility		$491.28	$669.14	$875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.64 / $866.95 / $1,180.53	Professional		$503.64	$866.95	$1,180.53
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $1,032.61 / $1,032.61 / $1,035.26	Professional	54	$1,032.61	$1,032.61	$1,035.26
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $258.14 / $258.14 / $258.82	Professional	55	$258.14	$258.14	$258.82
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,085.00 / $5,060.00	Facility		$559.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.50 / $918.54 / $1,365.98	Professional		$668.50	$918.54	$1,365.98