Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.26 / $3,776.00 / $9,727.00	Facility		$524.26	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $393.20 / $892.34 / $1,169.68	Facility	54	$393.20	$892.34	$1,169.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.83 / $522.65 / $800.12	Professional		$434.83	$522.65	$800.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.62 / $435.63 / $687.05	Facility		$210.62	$435.63	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.19 / $527.20 / $899.79	Professional		$450.19	$527.20	$899.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $580.00 / $1,370.63	Facility		$375.00	$580.00	$1,370.63
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $614.96 / $1,127.31	Professional		$482.03	$614.96	$1,127.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $641.30 / $1,033.71	Facility		$481.57	$641.30	$1,033.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $363.67 / $666.89	Professional		$75.30	$363.67	$666.89
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 $401.03 / $534.54 / $1,170.10	Professional		$401.03	$534.54	$1,170.10