Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.14 / $634.50 / $2,145.78	Facility		$454.14	$634.50	$2,145.78
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.60 / $251.60 / $263.06	Facility	54	$251.60	$251.60	$263.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $318.70 / $767.35	Professional		$240.12	$318.70	$767.35
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $199.65 / $263.06 / $543.20	Professional	54	$199.65	$263.06	$543.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.82 / $324.97 / $339.80	Professional		$305.82	$324.97	$339.80
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 $153.84 / $405.31 / $564.71	Professional		$153.84	$405.31	$564.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.70 / $405.14 / $583.69	Professional		$265.70	$405.14	$583.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.29 / $494.08	Professional		$32.34	$59.29	$494.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $329.21 / $408.00	Facility		$267.62	$329.21	$408.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $432.15 / $809.25	Professional		$283.23	$432.15	$809.25
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $509.74 / $617.95 / $994.54	Professional	54	$509.74	$617.95	$994.54
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 $307.27 / $465.99 / $669.26	Professional		$307.27	$465.99	$669.26