Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.58 / $2,145.78 / $7,838.38	Facility		$344.58	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $238.66 / $238.66 / $258.44	Facility	54	$238.66	$238.66	$258.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $316.70 / $542.29	Professional		$276.68	$316.70	$542.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $320.33 / $320.33	Professional		$320.33	$320.33	$320.33
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 $176.00 / $388.13 / $544.63	Professional		$176.00	$388.13	$544.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $453.87 / $588.51	Professional		$298.82	$453.87	$588.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.44 / $487.05	Professional		$32.34	$58.44	$487.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.48 / $337.56 / $448.73	Facility		$250.48	$337.56	$448.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.22 / $477.02 / $783.92	Professional		$326.22	$477.02	$783.92
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 $337.92 / $478.00 / $712.81	Professional		$337.92	$478.00	$712.81