Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.74 / $1,218.74 / $6,187.17	Facility		$626.74	$1,218.74	$6,187.17
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $470.06 / $1,809.78 / $2,543.84	Facility	54	$470.06	$1,809.78	$2,543.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $592.76 / $976.67	Professional		$499.55	$592.76	$976.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.76 / $606.58 / $697.51	Professional		$372.76	$606.58	$697.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.83 / $1,187.97 / $2,488.86	Facility		$521.83	$1,187.97	$2,488.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $554.40 / $1,005.18	Professional		$495.00	$554.40	$1,005.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $879.98 / $1,370.63	Facility		$580.00	$879.98	$1,370.63
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $708.22 / $1,211.17	Professional		$532.50	$708.22	$1,211.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $516.97 / $711.85 / $1,137.93	Facility		$516.97	$711.85	$1,137.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $380.60 / $706.91	Professional		$75.30	$380.60	$706.91
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.82 / $590.70 / $1,250.00	Professional		$449.82	$590.70	$1,250.00