Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.52 / $5,000.27 / $7,838.38	Facility		$260.52	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,590.36 / $1,590.36 / $1,590.36	Facility	50	$1,590.36	$1,590.36	$1,590.36
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $161.88 / $161.88 / $195.39	Facility	54	$161.88	$161.88	$195.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $296.17 / $558.63	Professional		$243.49	$296.17	$558.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.31 / $587.26 / $635.41	Professional	50	$416.31	$587.26	$635.41
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $172.68 / $289.76 / $982.08	Professional	54	$172.68	$289.76	$982.08
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $32.38 / $48.96 / $196.42	Professional	55	$32.38	$48.96	$196.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $191.41 / $227.48	Professional		$191.41	$191.41	$227.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.03 / $1,965.50 / $3,202.75	Facility		$536.03	$1,965.50	$3,202.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $265.41 / $408.63	Professional		$148.83	$265.41	$408.63
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 $196.98 / $382.33 / $512.98	Professional		$196.98	$382.33	$512.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $205.61 / $365.80	Professional		$32.34	$205.61	$365.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.30 / $357.67 / $875.00	Facility		$269.30	$357.67	$875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $384.74 / $512.98	Professional		$227.48	$384.74	$512.98
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $367.62 / $367.62 / $367.62	Professional	54	$367.62	$367.62	$367.62
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $91.90 / $91.90 / $91.90	Professional	55	$91.90	$91.90	$91.90
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,358.00 / $2,877.00	Facility		$350.00	$2,358.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.65 / $405.43 / $550.14	Professional		$337.65	$405.43	$550.14