Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $812.83 / $16,595.87	Facility		$331.13	$812.83	$16,595.87
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	54	$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $588.84	Professional		$251.19	$323.59	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $676.08	Facility		$213.80	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $407.38	Professional		$251.19	$323.59	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $489.78	Facility		$100.00	$100.00	$489.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	54	$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $660.69	Professional		$269.15	$371.54	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $724.44	Professional		$446.68	$446.68	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $371.54 / $660.69	Facility		$288.40	$371.54	$660.69
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 $234.42 / $302.00 / $478.63	Professional		$234.42	$302.00	$478.63