Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.13 / $1,047.00 / $7,838.38	Facility		$486.13	$1,047.00	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.16 / $328.16 / $364.60	Facility	54	$328.16	$328.16	$364.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $445.33 / $813.35	Professional		$393.50	$445.33	$813.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.77 / $1,724.33 / $2,604.83	Facility		$484.77	$1,724.33	$2,604.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $561.48 / $789.84	Professional		$253.60	$561.48	$789.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.22 / $642.85 / $843.16	Professional		$426.22	$642.85	$843.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $83.58 / $696.56	Professional		$32.34	$83.58	$696.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.36 / $520.95 / $734.66	Facility		$417.36	$520.95	$734.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.17 / $671.80 / $1,094.70	Professional		$472.17	$671.80	$1,094.70
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.12 / $687.48 / $1,048.51	Professional		$494.12	$687.48	$1,048.51