Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $572.52 / $1,831.00	Facility		$184.73	$572.52	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $190.92 / $200.24 / $462.53	Facility	54	$190.92	$200.24	$462.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $290.22 / $616.71	Professional		$239.21	$290.22	$616.71
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $183.88 / $222.68 / $462.53	Professional	54	$183.88	$222.68	$462.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $375.05 / $549.42	Professional		$175.06	$375.05	$549.42
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 $520.00 / $520.00 / $520.00	Professional		$520.00	$520.00	$520.00
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 $267.49 / $441.47 / $572.22	Professional		$267.49	$441.47	$572.22
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 $240.23 / $310.50 / $622.72	Professional		$240.23	$310.50	$622.72