Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.90 / $3,776.00 / $9,727.00	Facility		$366.90	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.18 / $290.13 / $650.37	Facility	54	$275.18	$290.13	$650.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.82 / $356.71 / $673.86	Professional		$268.82	$356.71	$673.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.81 / $325.81 / $463.71	Professional		$325.81	$325.81	$463.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $416.23 / $671.77	Facility		$208.64	$416.23	$671.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $335.30 / $539.78	Professional		$300.00	$335.30	$539.78
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 $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $408.79 / $747.57	Professional		$303.87	$408.79	$747.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $322.80 / $425.52 / $673.86	Facility		$322.80	$425.52	$673.86
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 $36.68 / $237.61 / $448.96	Professional		$36.68	$237.61	$448.96
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 $266.54 / $350.87 / $683.28	Professional		$266.54	$350.87	$683.28