Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.72 / $750.00 / $1,831.00	Facility		$166.72	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $125.04 / $125.89 / $302.94	Facility	54	$125.04	$125.89	$302.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $186.58 / $403.92	Professional		$153.71	$186.58	$403.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $374.67 / $374.67 / $436.29	Professional		$374.67	$374.67	$436.29
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 $433.00 / $433.00 / $433.00	Professional		$433.00	$433.00	$433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $129.50 / $294.05	Facility		$115.68	$129.50	$294.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $282.87 / $360.24	Professional		$180.57	$282.87	$360.24
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 $156.46 / $201.28 / $389.76	Professional		$156.46	$201.28	$389.76