Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.93 / $579.88 / $9,062.00	Facility		$375.93	$579.88	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $281.95 / $294.68 / $654.40	Facility	54	$281.95	$294.68	$654.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $375.93 / $822.89	Professional		$247.37	$375.93	$822.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $232.22 / $271.83 / $465.98	Professional	54	$232.22	$271.83	$465.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $366.36 / $656.88	Facility		$179.99	$366.36	$656.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $337.18 / $485.27	Professional		$282.00	$337.18	$485.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $560.70	Facility		$100.00	$210.80	$560.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.49 / $392.49 / $392.49	Facility	54	$392.49	$392.49	$392.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.81 / $407.55 / $726.48	Professional		$276.81	$407.55	$726.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.88 / $407.00 / $716.82	Facility		$320.88	$407.00	$716.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $252.24 / $252.24 / $252.24	Professional	50	$252.24	$252.24	$252.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $237.61 / $448.96	Professional		$36.68	$237.61	$448.96
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 $260.82 / $339.37 / $780.92	Professional		$260.82	$339.37	$780.92