Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.98 / $2,095.00 / $7,838.38	Facility		$293.98	$2,095.00	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $220.49 / $220.49 / $238.97	Facility	54	$220.49	$220.49	$238.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $293.49 / $505.82	Professional		$248.53	$293.49	$505.82
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 $156.86 / $376.05 / $527.00	Professional		$156.86	$376.05	$527.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.02 / $406.44 / $543.98	Professional		$254.02	$406.44	$543.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.08 / $450.74	Professional		$32.34	$54.08	$450.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $322.00 / $408.00	Facility		$268.14	$322.00	$408.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.13 / $431.84 / $718.32	Professional		$292.13	$431.84	$718.32
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 $312.00 / $432.51 / $635.40	Professional		$312.00	$432.51	$635.40