Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $228.70 / $228.70 / $258.63	Facility	54	$228.70	$228.70	$258.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $304.93 / $556.52	Professional		$257.52	$304.93	$556.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $391.97 / $550.91	Professional		$166.20	$391.97	$550.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $425.45 / $576.39	Professional		$266.45	$425.45	$576.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.35 / $486.27	Professional		$32.34	$58.35	$486.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.79 / $449.08 / $755.22	Professional		$303.79	$449.08	$755.22
United Facility/Professional Professional Modifier Low / Median / High Price $334.42 / $471.49 / $763.82	Professional		$334.42	$471.49	$763.82