Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.21 / $3,776.00 / $9,727.00	Facility		$340.21	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.16 / $266.79 / $616.14	Facility	54	$255.16	$266.79	$616.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $303.14 / $373.01	Professional		$237.75	$303.14	$373.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.62 / $1,329.80 / $2,488.86	Facility		$692.62	$1,329.80	$2,488.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $315.75 / $527.48	Professional		$270.00	$315.75	$527.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $580.00	Facility		$210.80	$375.00	$580.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.25 / $354.25 / $354.25	Facility	54	$354.25	$354.25	$354.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.85 / $392.06 / $687.43	Professional		$271.85	$392.06	$687.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $304.49 / $391.29 / $640.16	Facility		$304.49	$391.29	$640.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $230.45 / $421.15	Professional		$36.68	$230.45	$421.15
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 $245.57 / $321.62 / $711.12	Professional		$245.57	$321.62	$711.12