Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,942.39	Facility		$1,000.00	$7,838.38	$8,942.39
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $928.12 / $928.12 / $928.12	Facility	54	$928.12	$928.12	$928.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,237.49 / $2,848.19	Professional		$992.21	$1,237.49	$2,848.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,795.51 / $13,917.38 / $22,678.17	Facility		$3,795.51	$13,917.38	$22,678.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.41 / $1,384.96 / $1,973.00	Professional		$906.41	$1,384.96	$1,973.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,700.00 / $6,700.00 / $6,700.00	Facility		$6,700.00	$6,700.00	$6,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.35 / $1,622.52 / $2,089.06	Professional		$865.35	$1,622.52	$2,089.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,654.57 / $2,233.66	Professional		$32.34	$1,654.57	$2,233.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.67 / $1,406.19 / $6,700.00	Facility		$1,040.67	$1,406.19	$6,700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.35 / $1,622.52 / $2,089.06	Professional		$865.35	$1,622.52	$2,089.06
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $8,842.00 / $16,897.00	Facility		$899.00	$8,842.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.59 / $1,571.68 / $2,011.79	Professional		$1,236.59	$1,571.68	$2,011.79