Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $3,776.00 / $9,727.00	Facility		$302.58	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.94 / $236.63 / $536.47	Facility	54	$226.94	$236.63	$536.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $280.67 / $367.59	Professional		$232.63	$280.67	$367.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $429.29 / $671.77	Facility		$205.47	$429.29	$671.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.19 / $299.17 / $483.81	Professional		$260.19	$299.17	$483.81
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 $315.25 / $315.25 / $315.25	Facility	54	$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.94 / $338.76 / $609.70	Professional		$239.94	$338.76	$609.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.06 / $355.56 / $559.28	Facility		$269.06	$355.56	$559.28
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 $34.26 / $152.09 / $400.65	Professional		$34.26	$152.09	$400.65
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 $217.54 / $290.68 / $633.07	Professional		$217.54	$290.68	$633.07