Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,801.89 / $9,772.37	Facility		$309.03	$3,801.89	$9,772.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $562.34	Professional		$218.78	$288.40	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $676.08	Facility		$208.93	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $380.19	Professional		$223.87	$281.84	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $426.58	Facility		$100.00	$208.93	$426.58
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	54	$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $575.44	Professional		$218.78	$323.59	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $616.60	Professional		$380.19	$380.19	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $562.34	Facility		$239.88	$323.59	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $407.38	Professional		$199.53	$257.04	$407.38