Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.16 / $2,145.78 / $7,838.38	Facility		$273.16	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $190.30 / $190.30 / $204.87	Facility	54	$190.30	$190.30	$204.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $253.73 / $588.96	Professional		$215.47	$253.73	$588.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.17 / $266.17 / $266.17	Professional		$266.17	$266.17	$266.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $614.54 / $1,001.38	Facility		$167.59	$614.54	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $308.31 / $431.02	Professional		$135.13	$308.31	$431.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $350.42 / $464.79	Professional		$221.84	$350.42	$464.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.42 / $386.88	Professional		$32.34	$46.42	$386.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $265.25 / $346.00	Facility		$213.31	$265.25	$346.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $370.89 / $615.82	Professional		$251.86	$370.89	$615.82
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,084.00 / $1,401.00	Facility		$230.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.43 / $375.50 / $608.29	Professional		$261.43	$375.50	$608.29