Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.87 / $2,145.78 / $7,838.38	Facility		$534.87	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $368.36 / $368.36 / $401.15	Facility	54	$368.36	$368.36	$401.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.74 / $534.87 / $873.72	Professional		$435.74	$534.87	$873.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.77 / $1,724.33 / $2,604.83	Facility		$484.77	$1,724.33	$2,604.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $616.75 / $908.38	Professional		$272.77	$616.75	$908.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.95 / $715.70 / $933.41	Professional		$482.95	$715.70	$933.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.42 / $761.88	Professional		$32.34	$91.42	$761.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.89 / $576.02 / $713.76	Facility		$484.89	$576.02	$713.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.40 / $756.64 / $1,222.61	Professional		$525.40	$756.64	$1,222.61
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 $556.66 / $755.50 / $1,055.60	Professional		$556.66	$755.50	$1,055.60