Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.20 / $486.05 / $9,062.00	Facility		$256.20	$486.05	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $249.83 / $262.29 / $586.57	Facility	54	$249.83	$262.29	$586.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $331.69 / $612.01	Professional		$244.84	$331.69	$612.01
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $205.71 / $233.98 / $337.70	Professional	54	$205.71	$233.98	$337.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.01 / $262.19 / $517.27	Professional		$247.01	$262.19	$517.27
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $212.51 / $212.51 / $212.51	Professional	54	$212.51	$212.51	$212.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $388.34 / $687.05	Facility		$205.47	$388.34	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $287.02 / $395.18	Professional		$178.00	$287.02	$395.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $497.70	Facility		$100.00	$210.80	$497.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $348.39 / $348.39 / $348.39	Facility	54	$348.39	$348.39	$348.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.91 / $364.62 / $675.83	Professional		$219.91	$364.62	$675.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $349.72 / $606.64	Facility		$242.00	$349.72	$606.64
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 $236.21 / $306.76 / $589.89	Professional		$236.21	$306.76	$589.89