Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.38 / $1,102.46 / $4,375.00	Facility		$289.38	$1,102.46	$4,375.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $149.12 / $172.79 / $413.15	Facility	54	$149.12	$172.79	$413.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $206.39 / $347.68	Professional		$144.29	$206.39	$347.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $283.44 / $304.58	Professional		$178.50	$283.44	$304.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $355.44 / $576.88	Facility		$160.16	$355.44	$576.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $186.00 / $268.24	Professional		$166.00	$186.00	$268.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $195.16 / $195.16	Facility		$195.16	$195.16	$195.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $221.96 / $326.79	Professional		$159.62	$221.96	$326.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.91 / $207.86 / $303.14	Facility		$170.91	$207.86	$303.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.69 / $193.69 / $193.69	Professional		$193.69	$193.69	$193.69
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $290.54 / $290.54 / $290.54	Professional	50	$290.54	$290.54	$290.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $184.50 / $238.17	Professional		$144.50	$184.50	$238.17
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $200.37 / $330.61	Professional		$154.74	$200.37	$330.61