Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $954.99 / $1,995.26	Facility		$302.00	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $691.83	Professional		$269.15	$371.54	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	50	$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	54	$478.63	$478.63	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $630.96	Professional		$213.80	$416.87	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $616.60 / $616.60	Professional		$134.90	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $371.54	Facility		$120.23	$134.90	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $630.96	Professional		$295.12	$478.63	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $537.03 / $1,621.81	Facility		$223.87	$537.03	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $676.08	Professional		$257.04	$338.84	$676.08