Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.31 / $2,095.00 / $7,838.38	Facility		$316.31	$2,095.00	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.23 / $237.23 / $256.76	Facility	54	$237.23	$237.23	$256.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $316.31 / $549.33	Professional		$269.04	$316.31	$549.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.43 / $329.09 / $329.09	Professional		$317.43	$329.09	$329.09
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 $168.70 / $405.05 / $568.32	Professional		$168.70	$405.05	$568.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.99 / $443.18 / $577.62	Professional		$276.99	$443.18	$577.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.06 / $483.90	Professional		$32.34	$58.06	$483.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.72 / $353.31 / $697.03	Facility		$289.72	$353.31	$697.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $460.75 / $763.60	Professional		$318.52	$460.75	$763.60
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 $324.22 / $458.15 / $678.59	Professional		$324.22	$458.15	$678.59