Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.36 / $750.00 / $1,831.00	Facility		$202.36	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $148.80 / $151.77 / $360.50	Facility	54	$148.80	$151.77	$360.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $225.05 / $480.66	Professional		$195.28	$225.05	$480.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.80 / $279.80 / $526.23	Professional		$279.80	$279.80	$526.23
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 $509.00 / $509.00 / $509.00	Professional		$509.00	$509.00	$509.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $294.05	Facility		$119.14	$133.38	$294.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.65 / $340.42 / $430.16	Professional		$217.65	$340.42	$430.16
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 $188.63 / $239.49 / $463.02	Professional		$188.63	$239.49	$463.02