Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.20 / $2,145.78 / $7,838.38	Facility		$207.20	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $146.03 / $146.03 / $155.40	Facility	54	$146.03	$146.03	$155.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $194.70 / $434.21	Professional		$162.06	$194.70	$434.21
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $134.09 / $155.40 / $306.77	Professional	54	$134.09	$155.40	$306.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $194.94 / $194.94	Professional		$194.94	$194.94	$194.94
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 $100.73 / $243.07 / $332.38	Professional		$100.73	$243.07	$332.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.86 / $266.97 / $353.11	Professional		$166.86	$266.97	$353.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.48 / $295.69	Professional		$32.34	$35.48	$295.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $202.96 / $260.81	Facility		$127.50	$202.96	$260.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $283.36 / $469.78	Professional		$191.88	$283.36	$469.78
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $303.38 / $372.61 / $587.54	Professional	54	$303.38	$372.61	$587.54
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 $201.02 / $287.01 / $409.49	Professional		$201.02	$287.01	$409.49