Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.62 / $3,776.00 / $9,727.00	Facility		$301.62	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.22 / $253.07 / $555.74	Facility	54	$226.22	$253.07	$555.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $292.52 / $522.85	Professional		$220.90	$292.52	$522.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $409.97 / $687.05	Facility		$208.64	$409.97	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $285.93 / $435.39	Professional		$240.00	$285.93	$435.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $451.20	Facility		$100.00	$210.80	$451.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $346.72 / $652.09	Professional		$250.47	$346.72	$652.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.57 / $360.22 / $575.35	Facility		$275.57	$360.22	$575.35
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 $228.20 / $294.13 / $670.11	Professional		$228.20	$294.13	$670.11