Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.04 / $750.00 / $1,831.00	Facility		$213.04	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $157.44 / $159.78 / $381.44	Facility	54	$157.44	$159.78	$381.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $221.24 / $508.59	Professional		$200.78	$221.24	$508.59
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 $321.00 / $321.00 / $321.00	Professional		$321.00	$321.00	$321.00
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 $224.74 / $351.05 / $442.62	Professional		$224.74	$351.05	$442.62
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 $193.67 / $247.94 / $513.29	Professional		$193.67	$247.94	$513.29