Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.57 / $746.26 / $9,062.00	Facility		$331.57	$746.26	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.68 / $267.23 / $610.70	Facility	54	$248.68	$267.23	$610.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.80 / $331.57 / $714.27	Professional		$263.80	$331.57	$714.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $409.97 / $687.05	Facility		$208.64	$409.97	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $308.44 / $482.20	Professional		$261.00	$308.44	$482.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $495.31	Facility		$100.00	$210.80	$495.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $377.09 / $688.57	Professional		$270.39	$377.09	$688.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.20 / $387.78 / $630.69	Facility		$295.20	$387.78	$630.69
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 $247.79 / $326.14 / $713.61	Professional		$247.79	$326.14	$713.61