Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $3,776.00 / $9,727.00	Facility		$275.52	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $206.65 / $209.14 / $454.65	Facility	54	$206.65	$209.14	$454.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $245.20 / $362.50	Professional		$200.78	$245.20	$362.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $438.34 / $711.67	Facility		$208.64	$438.34	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $237.64 / $371.80	Professional		$193.00	$237.64	$371.80
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 $286.50 / $286.50 / $286.50	Facility	54	$286.50	$286.50	$286.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $293.62 / $538.88	Professional		$205.35	$293.62	$538.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $311.43 / $499.68	Facility		$231.48	$311.43	$499.68
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 $34.22 / $194.79 / $327.36	Professional		$34.22	$194.79	$327.36
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 $186.76 / $247.55 / $548.70	Professional		$186.76	$247.55	$548.70