Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.89 / $2,145.78 / $7,838.38	Facility		$294.89	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $199.58 / $199.58 / $221.18	Facility	54	$199.58	$199.58	$221.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $266.10 / $366.49	Professional		$221.28	$266.10	$366.49
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 $137.53 / $349.74 / $483.15	Professional		$137.53	$349.74	$483.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $362.75 / $492.52	Professional		$233.43	$362.75	$492.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.14 / $417.83	Professional		$32.34	$50.14	$417.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.51 / $282.39 / $352.61	Facility		$225.51	$282.39	$352.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.73 / $385.43 / $642.88	Professional		$260.73	$385.43	$642.88
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 $272.88 / $401.31 / $561.60	Professional		$272.88	$401.31	$561.60