Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.40 / $570.35 / $2,838.15	Facility		$179.40	$570.35	$2,838.15
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $85.33 / $101.64 / $237.64	Facility	54	$85.33	$101.64	$237.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $121.09 / $252.49	Professional		$85.32	$121.09	$252.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $168.24 / $177.15	Professional		$90.55	$168.24	$177.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $337.01 / $570.23	Facility		$150.01	$337.01	$570.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $94.87 / $149.91	Professional		$49.00	$94.87	$149.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.68 / $131.68 / $131.68	Facility		$131.68	$131.68	$131.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $125.05 / $192.23	Professional		$94.83	$125.05	$192.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.44 / $117.97 / $167.38	Facility		$85.44	$117.97	$167.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.21 / $128.21 / $128.21	Professional		$128.21	$128.21	$128.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $115.37 / $190.36	Professional		$87.27	$115.37	$190.36