Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.23 / $750.00 / $1,831.00	Facility		$234.23	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $175.67 / $192.21 / $425.60	Facility	54	$175.67	$192.21	$425.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $266.73 / $567.47	Professional		$208.78	$266.73	$567.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.63 / $312.63 / $312.63	Professional		$312.63	$312.63	$312.63
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 $655.00 / $655.00 / $655.00	Professional		$655.00	$655.00	$655.00
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 $258.64 / $416.55 / $539.62	Professional		$258.64	$416.55	$539.62
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 $236.32 / $312.14 / $591.95	Professional		$236.32	$312.14	$591.95