Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.80 / $2,145.78 / $7,838.38	Facility		$317.80	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.47 / $186.47 / $238.35	Facility	54	$186.47	$186.47	$238.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $290.12 / $547.24	Professional		$227.86	$290.12	$547.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.81 / $508.50 / $742.89	Professional	50	$269.81	$508.50	$742.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $186.47 / $278.89 / $1,200.02	Professional	54	$186.47	$278.89	$1,200.02
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $37.29 / $55.78 / $240.00	Professional	55	$37.29	$55.78	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.92 / $218.92 / $274.55	Professional		$218.92	$218.92	$274.55
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 $161.79 / $313.45 / $494.78	Professional		$161.79	$313.45	$494.78
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 $210.37 / $395.87 / $560.63	Professional		$210.37	$395.87	$560.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $336.08 / $439.53	Professional		$32.34	$336.08	$439.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.38 / $396.90 / $730.21	Facility		$329.38	$396.90	$730.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.92 / $404.40 / $560.63	Professional		$218.92	$404.40	$560.63
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $449.02 / $449.02 / $451.67	Professional	54	$449.02	$449.02	$451.67
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $112.26 / $112.26 / $112.92	Professional	55	$112.26	$112.26	$112.92
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 $365.07 / $490.00 / $617.40	Professional		$365.07	$490.00	$617.40