Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $467.37 / $9,062.00	Facility		$329.00	$467.37	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.14 / $604.21 / $723.80	Facility	54	$266.14	$604.21	$723.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $336.92 / $482.59	Professional		$258.24	$336.92	$482.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $388.34 / $711.67	Facility		$205.47	$388.34	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $326.95 / $519.24	Professional		$251.00	$326.95	$519.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $529.57	Facility		$100.00	$210.80	$529.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.61 / $419.25 / $769.23	Professional		$301.61	$419.25	$769.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $324.94 / $431.65 / $696.35	Facility		$324.94	$431.65	$696.35
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 / $247.83 / $474.27	Professional		$36.68	$247.83	$474.27
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,167.56 / $3,585.00	Facility		$225.00	$1,167.56	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $365.97 / $678.21	Professional		$273.00	$365.97	$678.21