Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.96 / $2,145.78 / $7,838.38	Facility		$234.96	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $172.58 / $172.58 / $176.22	Facility	54	$172.58	$172.58	$176.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $218.67 / $536.23	Professional		$183.87	$218.67	$536.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $614.54 / $1,001.38	Facility		$167.59	$614.54	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $275.19 / $400.55	Professional		$113.55	$275.19	$400.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $312.70 / $397.79	Professional		$201.74	$312.70	$397.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.45 / $328.77	Professional		$32.34	$39.45	$328.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.96 / $232.15 / $293.02	Facility		$195.96	$232.15	$293.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.17 / $324.33 / $555.27	Professional		$224.17	$324.33	$555.27
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.16 / $311.22 / $460.80	Professional		$220.16	$311.22	$460.80