Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.56 / $2,145.78 / $7,838.38	Facility		$342.56	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $228.03 / $228.03 / $256.92	Facility	54	$228.03	$228.03	$256.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $333.82 / $589.53	Professional		$262.97	$333.82	$589.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $614.54 / $1,001.38	Facility		$167.59	$614.54	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $403.37 / $569.23	Professional		$166.02	$403.37	$569.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $423.83 / $572.84	Professional		$283.06	$423.83	$572.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.13 / $484.45	Professional		$32.34	$58.13	$484.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.52 / $323.77 / $424.37	Facility		$279.52	$323.77	$424.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.63 / $450.32 / $756.86	Professional		$304.63	$450.32	$756.86
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 $332.58 / $463.00 / $758.16	Professional		$332.58	$463.00	$758.16