Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.50 / $947.47 / $9,062.00	Facility		$408.50	$947.47	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $306.38 / $333.79 / $758.04	Facility	54	$306.38	$333.79	$758.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $403.52 / $620.32	Professional		$321.75	$403.52	$620.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $438.34 / $711.67	Facility		$208.64	$438.34	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $380.42 / $580.52	Professional		$320.00	$380.42	$580.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $606.91	Facility		$210.80	$375.00	$606.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.92 / $470.98 / $860.06	Professional		$340.92	$470.98	$860.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.26 / $489.56 / $784.09	Facility		$354.26	$489.56	$784.09
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 / $280.16 / $542.04	Professional		$36.68	$280.16	$542.04
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 $307.73 / $424.35 / $893.06	Professional		$307.73	$424.35	$893.06