Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.22 / $2,145.78 / $7,838.38	Facility		$345.22	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.12 / $245.12 / $258.92	Facility	54	$245.12	$245.12	$258.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.82 / $325.69 / $751.49	Professional		$268.82	$325.69	$751.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $616.75 / $1,001.38	Facility		$167.59	$616.75	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $407.85 / $581.02	Professional		$171.48	$407.85	$581.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.63 / $449.01 / $583.53	Professional		$280.63	$449.01	$583.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.47 / $487.25	Professional		$32.34	$58.47	$487.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.60 / $341.17 / $436.26	Facility		$267.60	$341.17	$436.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $470.85 / $789.33	Professional		$322.73	$470.85	$789.33
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 $337.92 / $481.95 / $780.53	Professional		$337.92	$481.95	$780.53