Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.60 / $750.00 / $1,831.00	Facility		$299.60	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $215.37 / $224.70 / $521.78	Facility	54	$215.37	$224.70	$521.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $333.09 / $695.71	Professional		$240.12	$333.09	$695.71
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $180.10 / $257.00 / $521.78	Professional	54	$180.10	$257.00	$521.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $418.24 / $741.33	Professional		$197.19	$418.24	$741.33
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 $612.00 / $612.00 / $612.00	Professional		$612.00	$612.00	$612.00
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 $296.39 / $485.22 / $626.25	Professional		$296.39	$485.22	$626.25
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 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $360.37 / $710.40	Professional		$264.27	$360.37	$710.40