Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.83 / $2,145.78 / $7,838.38	Facility		$539.83	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.54 / $383.54 / $404.87	Facility	54	$383.54	$383.54	$404.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $511.38 / $831.60	Professional		$449.59	$511.38	$831.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $596.14 / $1,001.38	Facility		$167.59	$596.14	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.48 / $641.77 / $917.66	Professional		$276.48	$641.77	$917.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.50 / $730.76 / $940.24	Professional		$496.50	$730.76	$940.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.00 / $766.71	Professional		$32.34	$92.00	$766.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $483.49 / $565.69 / $721.04	Facility		$483.49	$565.69	$721.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.76 / $773.15 / $1,239.19	Professional		$529.76	$773.15	$1,239.19
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 $545.60 / $771.75 / $1,222.28	Professional		$545.60	$771.75	$1,222.28