Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.19 / $5,000.27 / $7,838.38	Facility		$343.19	$5,000.27	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $231.36 / $231.36 / $257.39	Facility	54	$231.36	$231.36	$257.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $308.48 / $587.59	Professional		$266.07	$308.48	$587.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.36 / $327.36 / $327.36	Professional		$327.36	$327.36	$327.36
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 $170.04 / $393.40 / $555.16	Professional		$170.04	$393.40	$555.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $435.68 / $578.70	Professional		$292.52	$435.68	$578.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.89 / $482.48	Professional		$32.34	$57.89	$482.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.72 / $328.08 / $430.44	Facility		$240.72	$328.08	$430.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $461.46 / $755.22	Professional		$313.14	$461.46	$755.22
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 $327.11 / $460.08 / $684.46	Professional		$327.11	$460.08	$684.46