Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.07 / $633.80 / $9,727.00	Facility		$273.07	$633.80	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $204.80 / $211.17 / $475.36	Facility	54	$204.80	$211.17	$475.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $241.54 / $368.81	Professional		$195.56	$241.54	$368.81
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 $202.00 / $242.40 / $366.46	Professional		$202.00	$242.40	$366.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $278.24 / $580.00	Facility		$210.80	$278.24	$580.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $299.98 / $544.11	Professional		$225.28	$299.98	$544.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.68 / $309.72 / $505.79	Facility		$232.68	$309.72	$505.79
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 $188.88 / $244.56 / $548.66	Professional		$188.88	$244.56	$548.66