Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.59 / $1,280.09 / $2,575.00	Facility		$484.59	$1,280.09	$2,575.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $344.57 / $363.44 / $834.80	Facility	54	$344.57	$363.44	$834.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $567.15 / $1,113.06	Professional		$459.43	$567.15	$1,113.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.89 / $596.99 / $933.21	Professional		$417.89	$596.99	$933.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.90 / $926.90 / $926.90	Facility		$926.90	$926.90	$926.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.00 / $1,197.00 / $1,197.00	Professional		$1,197.00	$1,197.00	$1,197.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.66 / $867.23 / $1,240.31	Facility		$774.66	$867.23	$1,240.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.15 / $833.40 / $1,070.56	Professional		$508.15	$833.40	$1,070.56
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.31 / $590.39 / $1,327.73	Professional		$451.31	$590.39	$1,327.73