Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.15 / $7,838.38 / $8,226.04	Facility		$899.15	$7,838.38	$8,226.04
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $674.36 / $674.36 / $674.36	Facility	54	$674.36	$674.36	$674.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $973.33 / $1,356.22	Professional		$761.10	$973.33	$1,356.22
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $134.87 / $201.66 / $203.43	Professional	55	$134.87	$201.66	$203.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,375.75 / $23,378.60 / $38,095.11	Facility		$6,375.75	$23,378.60	$38,095.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.79 / $1,003.26 / $1,444.86	Professional		$737.79	$1,003.26	$1,444.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.26 / $1,218.46 / $1,549.88	Professional		$657.26	$1,218.46	$1,549.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,285.26	Professional		$32.34	$32.34	$1,285.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.20 / $946.20 / $946.20	Facility		$946.20	$946.20	$946.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $657.26 / $1,218.46 / $1,549.88	Professional		$657.26	$1,218.46	$1,549.88
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $316.80 / $316.80 / $329.18	Professional	55	$316.80	$316.80	$329.18
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $8,842.00 / $16,897.00	Facility		$899.00	$8,842.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.25 / $1,262.25 / $1,741.78	Professional		$1,064.25	$1,262.25	$1,741.78