Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.51 / $5,000.27 / $7,838.38	Facility		$484.51	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $329.54 / $329.54 / $363.38	Facility	54	$329.54	$329.54	$363.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.04 / $468.54 / $810.04	Professional		$400.04	$468.54	$810.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.01 / $6,440.74 / $9,994.48	Facility		$1,860.01	$6,440.74	$9,994.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.44 / $562.03 / $798.45	Professional		$246.44	$562.03	$798.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.22 / $638.26 / $838.01	Professional		$405.22	$638.26	$838.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.62 / $688.50	Professional		$32.34	$82.62	$688.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.14 / $495.86 / $635.50	Facility		$411.14	$495.86	$635.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $670.01 / $1,088.14	Professional		$466.00	$670.01	$1,088.14
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.21 / $685.96 / $1,024.20	Professional		$484.21	$685.96	$1,024.20