Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $8,709.64	Facility		$588.84	$1,479.11	$8,709.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.90 / $2,041.74 / $2,570.40	Facility	54	$1,174.90	$2,041.74	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,230.27	Professional		$478.63	$630.96	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $724.44	Professional		$371.54	$467.74	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,174.90 / $2,398.83	Facility		$436.52	$1,174.90	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $912.01	Professional		$512.86	$616.60	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,380.38	Facility		$575.44	$870.96	$1,380.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	54	$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,174.90	Professional		$512.86	$691.83	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,258.93	Professional		$870.96	$870.96	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,174.90	Facility		$501.19	$724.44	$1,174.90
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 $1,096.48 / $3,890.45 / $7,762.47	Facility		$1,096.48	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $954.99	Professional		$436.52	$562.34	$954.99