Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.24 / $2,145.78 / $7,838.38	Facility		$359.24	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $249.92 / $249.92 / $269.43	Facility	54	$249.92	$249.92	$269.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.05 / $333.22 / $615.15	Professional		$287.05	$333.22	$615.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $333.90 / $333.90	Professional		$333.90	$333.90	$333.90
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 $183.26 / $406.30 / $565.64	Professional		$183.26	$406.30	$565.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $473.67 / $616.17	Professional		$317.02	$473.67	$616.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.09 / $509.14	Professional		$32.34	$61.09	$509.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.42 / $367.97 / $464.74	Facility		$311.42	$367.97	$464.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.45 / $497.41 / $815.08	Professional		$340.45	$497.41	$815.08
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 $356.76 / $485.59 / $697.42	Professional		$356.76	$485.59	$697.42