Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $550.79 / $2,453.28	Facility		$209.00	$550.79	$2,453.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $152.22 / $152.22 / $168.70	Facility	52	$152.22	$152.22	$168.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $208.24 / $208.24 / $228.32	Facility	54	$208.24	$208.24	$228.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $311.27 / $561.60	Professional		$232.16	$311.27	$561.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.91 / $641.33 / $1,001.38	Facility		$241.91	$641.33	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $390.58 / $557.97	Professional		$162.13	$390.58	$557.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.42 / $414.76 / $578.05	Professional		$281.42	$414.76	$578.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.81 / $490.12	Professional		$32.34	$58.81	$490.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $324.36 / $406.67	Facility		$221.00	$324.36	$406.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.11 / $440.68 / $739.64	Professional		$298.11	$440.68	$739.64
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 $302.94 / $449.82 / $646.04	Professional		$302.94	$449.82	$646.04