Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.26 / $461.00 / $2,825.00	Facility		$150.26	$461.00	$2,825.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $65.31 / $77.45 / $144.28	Facility	54	$65.31	$77.45	$144.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $142.13 / $216.04	Professional		$87.09	$142.13	$216.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $101.30 / $278.27	Professional		$86.10	$101.30	$278.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $98.06 / $98.06	Facility		$98.06	$98.06	$98.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.32 / $83.32 / $281.64	Facility		$83.32	$83.32	$281.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $144.82 / $210.00	Professional		$91.64	$144.82	$210.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $579.00 / $1,888.00	Facility		$225.00	$579.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $121.54 / $253.40	Professional		$99.32	$121.54	$253.40