Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.36 / $2,145.78 / $7,838.38	Facility		$519.36	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $349.19 / $349.19 / $389.52	Facility	54	$349.19	$349.19	$389.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $465.58 / $674.23	Professional		$413.35	$465.58	$674.23
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 $262.98 / $595.84 / $861.75	Professional		$262.98	$595.84	$861.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.98 / $679.89 / $898.43	Professional		$435.98	$679.89	$898.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $88.70 / $739.19	Professional		$32.34	$88.70	$739.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.15 / $523.01 / $679.38	Facility		$440.15	$523.01	$679.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.10 / $718.30 / $1,166.04	Professional		$495.10	$718.30	$1,166.04
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 $523.74 / $735.99 / $1,096.20	Professional		$523.74	$735.99	$1,096.20