Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.23 / $220.94 / $9,062.00	Facility		$207.23	$220.94	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $164.33 / $165.71 / $368.95	Facility	54	$164.33	$165.71	$368.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $206.62 / $297.97	Professional		$151.78	$206.62	$297.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $388.34 / $687.05	Facility		$208.64	$388.34	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $184.09 / $293.63	Professional		$129.00	$184.09	$293.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $204.67 / $224.31	Facility		$100.00	$204.67	$224.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.76 / $154.76 / $154.76	Facility	54	$154.76	$154.76	$154.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $238.10 / $426.97	Professional		$168.00	$238.10	$426.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.62 / $244.34 / $401.13	Facility		$182.62	$244.34	$401.13
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 $31.57 / $148.85 / $266.60	Professional		$31.57	$148.85	$266.60
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $194.35 / $437.65	Professional		$150.19	$194.35	$437.65