Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.32 / $2,145.78 / $7,838.38	Facility		$225.32	$2,145.78	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $158.84 / $158.84 / $168.99	Facility	54	$158.84	$158.84	$168.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $211.78 / $387.61	Professional		$175.61	$211.78	$387.61
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $144.88 / $168.99 / $343.94	Professional	54	$144.88	$168.99	$343.94
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 $111.94 / $248.99 / $354.71	Professional		$111.94	$248.99	$354.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $287.43 / $381.37	Professional		$198.23	$287.43	$381.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.78 / $314.86	Professional		$32.34	$37.78	$314.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.40 / $226.88 / $293.80	Facility		$178.40	$226.88	$293.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $304.72 / $516.60	Professional		$209.04	$304.72	$516.60
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $335.54 / $413.28 / $635.38	Professional	54	$335.54	$413.28	$635.38
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,084.00 / $1,401.00	Facility		$230.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.44 / $319.26 / $507.06	Professional		$220.44	$319.26	$507.06