Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.41 / $2,145.78 / $7,838.38	Facility		$248.41	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $163.15 / $163.15 / $186.31	Facility	54	$163.15	$163.15	$186.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $231.21 / $622.26	Professional		$177.78	$231.21	$622.26
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 $124.67 / $276.49 / $387.47	Professional		$124.67	$276.49	$387.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $311.89 / $421.56	Professional		$214.29	$311.89	$421.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.68 / $347.40	Professional		$32.34	$41.68	$347.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $247.10 / $315.12	Facility		$204.11	$247.10	$315.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.63 / $330.59 / $555.14	Professional		$223.63	$330.59	$555.14
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 $247.86 / $335.64 / $501.30	Professional		$247.86	$335.64	$501.30