Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.55 / $698.54 / $9,062.00	Facility		$200.55	$698.54	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $211.71 / $230.27 / $523.91	Facility	54	$211.71	$230.27	$523.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.17 / $266.75 / $434.46	Professional		$205.17	$266.75	$434.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.48 / $318.48 / $318.48	Professional		$318.48	$318.48	$318.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $409.97 / $687.05	Facility		$205.47	$409.97	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $265.00 / $420.86	Professional		$232.00	$265.00	$420.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $423.44	Facility		$100.00	$210.80	$423.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.47 / $321.26 / $593.30	Professional		$241.47	$321.26	$593.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $255.40 / $336.43 / $539.13	Facility		$255.40	$336.43	$539.13
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 $34.26 / $229.29 / $377.94	Professional		$34.26	$229.29	$377.94
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 $211.89 / $284.19 / $617.38	Professional		$211.89	$284.19	$617.38