Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.24 / $750.00 / $1,831.00	Facility		$296.24	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.95 / $222.18 / $511.05	Facility	54	$210.95	$222.18	$511.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $314.52 / $681.40	Professional		$255.08	$314.52	$681.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.47 / $192.47 / $606.07	Professional		$192.47	$192.47	$606.07
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 $730.00 / $730.00 / $730.00	Professional		$730.00	$730.00	$730.00
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 $304.14 / $495.41 / $638.00	Professional		$304.14	$495.41	$638.00
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 $281.39 / $363.37 / $692.33	Professional		$281.39	$363.37	$692.33