Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.43 / $680.00 / $2,355.90	Facility		$170.43	$680.00	$2,355.90
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $115.24 / $133.54 / $254.54	Facility	54	$115.24	$133.54	$254.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $200.00 / $366.00	Professional		$146.88	$200.00	$366.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $139.52 / $182.15	Professional		$126.96	$139.52	$182.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $150.13 / $150.13	Facility		$150.13	$150.13	$150.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $274.00 / $274.00	Professional		$274.00	$274.00	$274.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $123.48 / $281.64	Facility		$123.48	$123.48	$281.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $257.64 / $366.00	Professional		$167.86	$257.64	$366.00
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 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $215.45 / $528.77	Professional		$172.36	$215.45	$528.77