Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.51 / $2,145.78 / $7,838.38	Facility		$218.51	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $148.01 / $148.01 / $163.88	Facility	54	$148.01	$148.01	$163.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $199.28 / $375.63	Professional		$176.38	$199.28	$375.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $596.14 / $1,001.38	Facility		$167.59	$596.14	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $242.06 / $341.91	Professional		$113.90	$242.06	$341.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $287.14 / $370.04	Professional		$196.05	$287.14	$370.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.62 / $305.23	Professional		$32.34	$36.62	$305.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $224.10 / $289.70	Facility		$182.00	$224.10	$289.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $305.08 / $494.21	Professional		$206.38	$305.08	$494.21
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 $220.88 / $309.56 / $463.49	Professional		$220.88	$309.56	$463.49