Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,248.07 / $9,772.37	Facility		$354.81	$5,248.07	$9,772.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	54	$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $676.08	Professional		$275.42	$354.81	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $436.52	Professional		$223.87	$346.74	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $676.08	Facility		$208.93	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $467.74	Professional		$257.04	$346.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $524.81	Facility		$100.00	$100.00	$524.81
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	54	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $707.95	Professional		$288.40	$416.87	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $794.33	Professional		$524.81	$524.81	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $741.31	Facility		$309.03	$426.58	$741.31
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 $251.19 / $338.84 / $537.03	Professional		$251.19	$338.84	$537.03