Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.88 / $1,047.00 / $7,838.38	Facility		$269.88	$1,047.00	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $223.95 / $223.95 / $244.25	Facility	54	$223.95	$223.95	$244.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $298.60 / $555.40	Professional		$259.72	$298.60	$555.40
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 $167.13 / $368.94 / $516.67	Professional		$167.13	$368.94	$516.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $425.75 / $556.97	Professional		$279.77	$425.75	$556.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.92 / $457.70	Professional		$32.34	$54.92	$457.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.98 / $321.30 / $424.25	Facility		$246.98	$321.30	$424.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.01 / $450.91 / $741.28	Professional		$306.01	$450.91	$741.28
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 $320.32 / $450.50 / $729.81	Professional		$320.32	$450.50	$729.81