Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.15 / $4,199.00 / $8,644.27	Facility		$716.15	$4,199.00	$8,644.27
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $376.36 / $376.36 / $537.11	Facility	54	$376.36	$376.36	$537.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $570.89 / $1,136.57	Professional		$387.37	$570.89	$1,136.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.09 / $447.09 / $447.09	Professional		$447.09	$447.09	$447.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,467.27 / $8,543.52 / $13,257.49	Facility		$2,467.27	$8,543.52	$13,257.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.07 / $634.61 / $964.15	Professional		$336.07	$634.61	$964.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.56 / $720.96 / $1,137.30	Professional		$427.56	$720.96	$1,137.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $555.23 / $1,249.26	Professional		$32.34	$555.23	$1,249.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.66 / $624.51 / $860.98	Facility		$332.66	$624.51	$860.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.56 / $717.25 / $1,137.30	Professional		$427.56	$717.25	$1,137.30
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $5,971.00 / $8,422.00	Facility		$639.00	$5,971.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.29 / $922.67 / $1,325.16	Professional		$643.29	$922.67	$1,325.16