Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.43 / $2,095.00 / $7,838.38	Facility		$888.43	$2,095.00	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $666.32 / $666.32 / $666.32	Facility	54	$666.32	$666.32	$666.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $888.43 / $1,384.45	Professional		$616.03	$888.43	$1,384.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $765.90 / $765.90	Professional		$765.90	$765.90	$765.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.30 / $968.32 / $1,205.30	Professional		$642.30	$968.32	$1,205.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $3,800.00	Facility		$3,800.00	$3,800.00	$3,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.16 / $1,061.63 / $1,438.12	Professional		$572.16	$1,061.63	$1,438.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,156.83 / $1,561.72	Professional		$32.34	$1,156.83	$1,561.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.59 / $904.36 / $2,100.00	Facility		$724.59	$904.36	$2,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.20 / $1,061.63 / $1,438.12	Professional		$566.20	$1,061.63	$1,438.12
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 $754.51 / $1,057.03 / $1,582.74	Professional		$754.51	$1,057.03	$1,582.74