Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.08 / $2,145.78 / $7,838.38	Facility		$319.08	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $224.74 / $224.74 / $239.31	Facility	54	$224.74	$224.74	$239.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.64 / $352.75 / $636.98	Professional		$299.64	$352.75	$636.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.94 / $294.94 / $294.94	Professional		$294.94	$294.94	$294.94
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 $167.65 / $362.12 / $567.15	Professional		$167.65	$362.12	$567.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.20 / $477.00 / $633.79	Professional		$320.20	$477.00	$633.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.89 / $449.08	Professional		$32.34	$53.89	$449.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.36 / $403.20 / $530.61	Facility		$281.36	$403.20	$530.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.30 / $516.02 / $723.76	Professional		$340.30	$516.02	$723.76
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 $335.30 / $484.42 / $722.06	Professional		$335.30	$484.42	$722.06