Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.53 / $750.00 / $1,831.00	Facility		$177.53	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $125.52 / $133.15 / $304.10	Facility	54	$125.52	$133.15	$304.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $190.67 / $405.46	Professional		$157.06	$190.67	$405.46
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $122.99 / $149.40 / $304.10	Professional	54	$122.99	$149.40	$304.10
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 $401.00 / $401.00 / $401.00	Professional		$401.00	$401.00	$401.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $294.05	Facility		$119.14	$133.38	$294.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $294.54 / $384.68	Professional		$180.63	$294.54	$384.68
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 $166.54 / $215.78 / $414.67	Professional		$166.54	$215.78	$414.67