Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $739.12 / $16,467.00	Facility		$330.98	$739.12	$16,467.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.24 / $268.45 / $609.50	Facility	54	$248.24	$268.45	$609.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.03 / $308.14 / $505.82	Professional		$240.03	$308.14	$505.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $429.29 / $711.67	Facility		$208.64	$429.29	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $302.94 / $439.58	Professional		$250.00	$302.94	$439.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $492.90	Facility		$100.00	$210.80	$492.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $375.33 / $691.71	Professional		$283.58	$375.33	$691.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $299.51 / $393.73 / $627.09	Facility		$299.51	$393.73	$627.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $205.79 / $400.65	Professional		$36.68	$205.79	$400.65
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $332.03 / $655.17	Professional		$247.18	$332.03	$655.17