Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.13 / $229.52 / $2,145.78	Facility		$157.13	$229.52	$2,145.78
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $76.61 / $76.61 / $91.73	Facility	54	$76.61	$76.61	$91.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $121.22 / $461.00	Professional		$85.31	$121.22	$461.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $539.67 / $879.40	Facility		$147.18	$539.67	$879.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $126.23 / $178.47	Professional		$54.43	$126.23	$178.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $143.72 / $198.11	Professional		$107.80	$143.72	$198.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $99.93 / $191.56	Professional		$21.36	$99.93	$191.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.34 / $118.11 / $200.94	Facility		$85.34	$118.11	$200.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $166.84 / $211.67	Professional		$115.03	$166.84	$211.67
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $170.03 / $223.60	Professional		$115.06	$170.03	$223.60