Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $9,120.11	Facility		$371.54	$575.44	$9,120.11
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	54	$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $851.14	Professional		$295.12	$426.58	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Professional	50	$1,047.13	$1,047.13	$1,071.52
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $288.40 / $446.68 / $676.08	Professional	54	$288.40	$446.68	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $398.11	Professional		$151.36	$218.78	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $354.81 / $676.08	Facility		$204.17	$354.81	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $457.09	Professional		$281.84	$363.08	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $562.34	Facility		$100.00	$100.00	$562.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $724.44	Professional		$269.15	$407.38	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $794.33	Professional		$436.52	$436.52	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $724.44	Facility		$309.03	$389.05	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $524.81	Professional		$245.47	$316.23	$524.81