Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $562.34 / $9,120.11	Facility		$204.17	$562.34	$9,120.11
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	54	$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $602.56	Professional		$263.03	$338.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $501.19	Professional		$213.80	$213.80	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $758.58	Facility		$213.80	$398.11	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $478.63	Professional		$269.15	$346.74	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $776.25	Facility		$501.19	$512.86	$776.25
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	54	$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $691.83	Professional		$275.42	$398.11	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $776.25	Professional		$478.63	$478.63	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $398.11 / $707.95	Facility		$295.12	$398.11	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $512.86	Professional		$245.47	$316.23	$512.86