Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.83 / $750.00 / $1,831.00	Facility		$272.83	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $190.85 / $204.62 / $462.35	Facility	54	$190.85	$204.62	$462.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $302.14 / $616.47	Professional		$250.32	$302.14	$616.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.31 / $391.31 / $391.31	Professional		$391.31	$391.31	$391.31
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 $642.00 / $642.00 / $642.00	Professional		$642.00	$642.00	$642.00
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 $277.47 / $453.71 / $594.34	Professional		$277.47	$453.71	$594.34
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 $266.26 / $336.48 / $665.50	Professional		$266.26	$336.48	$665.50