Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.42 / $2,145.78 / $7,838.38	Facility		$250.42	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $182.35 / $182.35 / $187.82	Facility	54	$182.35	$182.35	$187.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $231.89 / $410.29	Professional		$195.56	$231.89	$410.29
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 $121.15 / $289.14 / $433.50	Professional		$121.15	$289.14	$433.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $332.74 / $427.44	Professional		$214.67	$332.74	$427.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.45 / $345.44	Professional		$32.34	$41.45	$345.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.63 / $240.16 / $310.52	Facility		$199.63	$240.16	$310.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.10 / $350.68 / $586.80	Professional		$242.10	$350.68	$586.80
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 $231.88 / $327.81 / $494.11	Professional		$231.88	$327.81	$494.11