Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.42 / $796.38 / $16,467.00	Facility		$357.42	$796.38	$16,467.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $268.07 / $288.83 / $638.65	Facility	54	$268.07	$288.83	$638.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $325.29 / $520.46	Professional		$259.20	$325.29	$520.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $287.43 / $287.43	Professional		$287.43	$287.43	$287.43
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 $293.00 / $327.77 / $513.72	Professional		$293.00	$327.77	$513.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $530.78	Facility		$100.00	$210.80	$530.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.55 / $371.55 / $371.55	Facility	54	$371.55	$371.55	$371.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $405.68 / $744.24	Professional		$308.00	$405.68	$744.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $413.70 / $663.83	Facility		$318.22	$413.70	$663.83
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 / $239.84 / $449.09	Professional		$36.68	$239.84	$449.09
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 $261.95 / $337.44 / $769.45	Professional		$261.95	$337.44	$769.45