Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.64 / $2,145.78 / $7,838.38	Facility		$300.64	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.76 / $200.76 / $225.49	Facility	54	$200.76	$200.76	$225.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $272.06 / $613.54	Professional		$220.90	$272.06	$613.54
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 $139.78 / $341.76 / $482.16	Professional		$139.78	$341.76	$482.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.14 / $363.87 / $502.25	Professional		$231.14	$363.87	$502.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.05 / $425.49	Professional		$32.34	$51.05	$425.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.18 / $291.30 / $388.96	Facility		$228.18	$291.30	$388.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $388.12 / $654.36	Professional		$260.83	$388.12	$654.36
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 $276.52 / $412.08 / $573.54	Professional		$276.52	$412.08	$573.54