Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.25 / $3,776.00 / $9,727.00	Facility		$388.25	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $291.19 / $315.27 / $714.63	Facility	54	$291.19	$315.27	$714.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.56 / $364.16 / $569.12	Professional		$283.56	$364.16	$569.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $437.87 / $687.05	Facility		$205.47	$437.87	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $356.00 / $554.36	Professional		$294.00	$356.00	$554.36
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 $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.68 / $440.39 / $812.37	Professional		$302.68	$440.39	$812.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.58 / $446.64 / $737.84	Facility		$338.58	$446.64	$737.84
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 / $255.56 / $498.34	Professional		$36.68	$255.56	$498.34
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 $290.20 / $389.28 / $979.28	Professional		$290.20	$389.28	$979.28