Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.09 / $2,145.78 / $7,838.38	Facility		$878.09	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $658.57 / $658.57 / $658.57	Facility	54	$658.57	$658.57	$658.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $878.09 / $1,371.62	Professional		$599.08	$878.09	$1,371.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $131.71 / $194.20 / $626.05	Professional	55	$131.71	$194.20	$626.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.39 / $758.39 / $758.39	Professional		$758.39	$758.39	$758.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.75 / $1,621.08 / $2,448.87	Facility		$455.75	$1,621.08	$2,448.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.11 / $957.38 / $1,363.88	Professional		$638.11	$957.38	$1,363.88
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 $565.09 / $1,018.35 / $1,420.95	Professional		$565.09	$1,018.35	$1,420.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,044.55 / $1,216.16	Professional		$32.34	$1,044.55	$1,216.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.94 / $882.57 / $1,000.00	Facility		$727.94	$882.57	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.12 / $1,018.35 / $1,420.95	Professional		$543.12	$1,018.35	$1,420.95
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $310.02 / $310.02 / $310.02	Professional	55	$310.02	$310.02	$310.02
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 $744.05 / $1,088.29 / $1,563.02	Professional		$744.05	$1,088.29	$1,563.02