Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.09 / $750.00 / $1,831.00	Facility		$218.09	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $163.57 / $175.44 / $396.27	Facility	54	$163.57	$175.44	$396.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.40 / $247.99 / $528.36	Professional		$215.40	$247.99	$528.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $301.44 / $333.58	Professional		$301.44	$301.44	$333.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $371.82	Facility		$119.14	$133.38	$371.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.20 / $387.40 / $508.08	Professional		$237.20	$387.40	$508.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $481.56 / $1,650.00	Facility		$225.00	$481.56	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.19 / $298.13 / $544.71	Professional		$222.19	$298.13	$544.71