Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.44 / $2,145.78 / $7,838.38	Facility		$374.44	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $258.97 / $258.97 / $280.83	Facility	54	$258.97	$258.97	$280.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $345.29 / $645.24	Professional		$291.82	$345.29	$645.24
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 $184.54 / $445.21 / $621.02	Professional		$184.54	$445.21	$621.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.48 / $479.45 / $640.35	Professional		$298.48	$479.45	$640.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.82 / $531.88	Professional		$32.34	$63.82	$531.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.08 / $355.59 / $472.82	Facility		$248.08	$355.59	$472.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.61 / $508.85 / $842.96	Professional		$344.61	$508.85	$842.96
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 $366.11 / $517.50 / $750.61	Professional		$366.11	$517.50	$750.61