Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.72 / $750.00 / $1,831.00	Facility		$275.72	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.89 / $206.79 / $479.42	Facility	54	$197.89	$206.79	$479.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $278.05 / $639.22	Professional		$252.78	$278.05	$639.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.63 / $369.63 / $369.63	Professional		$369.63	$369.63	$369.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $635.00 / $635.00	Professional		$635.00	$635.00	$635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $371.82	Facility		$119.14	$133.38	$371.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.92 / $458.49 / $600.12	Professional		$281.92	$458.49	$600.12
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 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.98 / $341.30 / $726.88	Professional		$255.98	$341.30	$726.88