Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $2,145.78 / $7,838.38	Facility		$320.83	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.37 / $221.37 / $240.63	Facility	54	$221.37	$221.37	$240.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $295.16 / $553.55	Professional		$250.28	$295.16	$553.55
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 $155.94 / $350.87 / $486.84	Professional		$155.94	$350.87	$486.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.06 / $409.70 / $548.49	Professional		$256.06	$409.70	$548.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.23 / $451.94	Professional		$32.34	$54.23	$451.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.16 / $305.45 / $400.64	Facility		$206.16	$305.45	$400.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.47 / $435.30 / $720.78	Professional		$294.47	$435.30	$720.78
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 $314.17 / $455.20 / $733.90	Professional		$314.17	$455.20	$733.90