Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $750.00 / $1,831.00	Facility		$253.36	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $190.02 / $205.07 / $460.35	Facility	54	$190.02	$205.07	$460.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $280.92 / $613.79	Professional		$231.43	$280.92	$613.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.14 / $388.14 / $388.14	Professional		$388.14	$388.14	$388.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Professional		$604.00	$604.00	$604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $371.82	Facility		$119.14	$133.38	$371.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $449.65 / $594.15	Professional		$277.38	$449.65	$594.15
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 $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.60 / $331.95 / $641.76	Professional		$258.60	$331.95	$641.76