Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.77 / $692.08 / $4,375.00	Facility		$321.77	$692.08	$4,375.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $174.41 / $192.87 / $420.66	Facility	52	$174.41	$192.87	$420.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $261.62 / $625.45 / $1,361.69	Facility	54	$261.62	$625.45	$1,361.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.64 / $323.04 / $462.04	Professional		$249.64	$323.04	$462.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.13 / $307.32 / $403.85	Professional		$217.13	$307.32	$403.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $372.72 / $656.88	Facility		$208.64	$372.72	$656.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $319.26 / $508.89	Professional		$282.00	$319.26	$508.89
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 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $366.64	Facility	54	$366.64	$366.64	$366.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $394.46 / $745.45	Professional		$282.89	$394.46	$745.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $303.92 / $415.10 / $655.76	Facility		$303.92	$415.10	$655.76
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 / $224.15 / $472.93	Professional		$36.68	$224.15	$472.93
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 $248.48 / $330.85 / $545.26	Professional		$248.48	$330.85	$545.26