Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.17 / $7,838.38 / $8,226.04	Facility		$949.17	$7,838.38	$8,226.04
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $711.88 / $711.88 / $711.88	Facility	54	$711.88	$711.88	$711.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $860.91 / $1,476.23	Professional		$738.41	$860.91	$1,476.23
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $142.38 / $212.43 / $718.19	Professional	55	$142.38	$212.43	$718.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.12 / $419.12 / $419.12	Professional		$419.12	$419.12	$419.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,455.73 / $8,503.52 / $13,195.43	Facility		$2,455.73	$8,503.52	$13,195.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.56 / $1,056.11 / $1,504.55	Professional		$776.56	$1,056.11	$1,504.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,900.00 / $4,900.00 / $4,900.00	Facility		$4,900.00	$4,900.00	$4,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.56 / $1,282.66 / $1,648.95	Professional		$685.56	$1,282.66	$1,648.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,261.73 / $1,667.44	Professional		$32.34	$1,261.73	$1,667.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.10 / $1,114.04 / $2,750.00	Facility		$866.10	$1,114.04	$2,750.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $685.56 / $1,282.66 / $1,648.95	Professional		$685.56	$1,282.66	$1,648.95
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $334.59 / $334.59 / $341.01	Professional	55	$334.59	$334.59	$341.01
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 $967.05 / $1,256.35 / $1,581.59	Professional		$967.05	$1,256.35	$1,581.59