Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.11 / $3,776.00 / $9,727.00	Facility		$364.11	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $273.08 / $305.76 / $678.62	Facility	54	$273.08	$305.76	$678.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.50 / $345.13 / $499.79	Professional		$264.50	$345.13	$499.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $437.87 / $687.05	Facility		$208.64	$437.87	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $331.33 / $496.73	Professional		$256.00	$331.33	$496.73
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 $379.78 / $379.78 / $379.78	Facility	54	$379.78	$379.78	$379.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.56 / $422.41 / $787.85	Professional		$274.56	$422.41	$787.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $314.06 / $420.08 / $699.12	Facility		$314.06	$420.08	$699.12
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 / $237.61 / $448.96	Professional		$36.68	$237.61	$448.96
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 $278.64 / $371.52 / $814.97	Professional		$278.64	$371.52	$814.97