Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.65 / $566.95 / $9,062.00	Facility		$76.65	$566.95	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.24 / $199.40 / $441.78	Facility	54	$195.24	$199.40	$441.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $252.28 / $487.98	Professional		$184.84	$252.28	$487.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $144.22 / $435.24	Professional		$144.22	$144.22	$435.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $435.63 / $687.05	Facility		$208.64	$435.63	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $229.16 / $362.00	Professional		$190.00	$229.16	$362.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $265.22 / $580.00	Facility		$210.80	$265.22	$580.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.20 / $183.20 / $183.20	Facility	54	$183.20	$183.20	$183.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $287.12 / $513.77	Professional		$217.05	$287.12	$513.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.69 / $292.11 / $476.75	Facility		$219.69	$292.11	$476.75
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 $31.51 / $171.53 / $298.91	Professional		$31.51	$171.53	$298.91
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 $175.63 / $230.06 / $519.85	Professional		$175.63	$230.06	$519.85