Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.95 / $488.18 / $7,799.00	Facility		$201.95	$488.18	$7,799.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $259.76 / $336.70 / $640.50	Facility	54	$259.76	$336.70	$640.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $339.01 / $498.71	Professional		$263.64	$339.01	$498.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.75 / $356.56 / $356.56	Professional		$284.75	$356.56	$356.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.62 / $435.63 / $786.00	Facility		$210.62	$435.63	$786.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $316.80 / $489.35	Professional		$264.00	$316.80	$489.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $505.00 / $780.00	Facility		$210.80	$505.00	$780.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.25 / $360.25 / $360.25	Facility	54	$360.25	$360.25	$360.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $403.37 / $741.37	Professional		$297.32	$403.37	$741.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $412.14 / $663.17	Facility		$317.18	$412.14	$663.17
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 $34.26 / $176.37 / $445.76	Professional		$34.26	$176.37	$445.76
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 $259.22 / $339.00 / $550.69	Professional		$259.22	$339.00	$550.69