Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.32 / $271.32 / $7,838.38	Facility		$271.32	$271.32	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $235.89 / $235.89 / $265.56	Facility	54	$235.89	$235.89	$265.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $314.52 / $601.98	Professional		$276.31	$314.52	$601.98
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 $178.85 / $400.30 / $571.88	Professional		$178.85	$400.30	$571.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $457.15 / $608.69	Professional		$285.95	$457.15	$608.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.27 / $502.31	Professional		$32.34	$60.27	$502.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.00 / $349.55 / $460.91	Facility		$189.00	$349.55	$460.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.84 / $486.11 / $789.66	Professional		$328.84	$486.11	$789.66
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,084.00 / $1,401.00	Facility		$230.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $496.36 / $735.29	Professional		$349.80	$496.36	$735.29