Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.87 / $3,776.00 / $9,727.00	Facility		$299.87	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $224.90 / $248.17 / $545.90	Facility	54	$224.90	$248.17	$545.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $279.81 / $405.06	Professional		$221.28	$279.81	$405.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $350.74 / $350.74	Professional		$350.74	$350.74	$350.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $409.97 / $711.67	Facility		$208.64	$409.97	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $281.00 / $434.01	Professional		$244.00	$281.00	$434.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $449.16	Facility		$100.00	$210.80	$449.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	54	$314.41	$314.41	$314.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.66 / $339.92 / $639.44	Professional		$237.66	$339.92	$639.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.25 / $350.04 / $562.51	Facility		$266.25	$350.04	$562.51
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 / $205.79 / $400.65	Professional		$36.68	$205.79	$400.65
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 $225.28 / $293.58 / $626.00	Professional		$225.28	$293.58	$626.00