Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $7,943.28	Facility		$234.42	$389.05	$7,943.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.12 / $295.12 / $389.05	Facility	54	$295.12	$295.12	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $549.54	Professional		$229.09	$295.12	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Professional		$194.98	$194.98	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $660.69	Facility		$213.80	$380.19	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $426.58	Professional		$199.53	$316.23	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $457.09	Facility		$100.00	$208.93	$457.09
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	54	$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $616.60	Professional		$245.47	$346.74	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $616.60	Facility		$257.04	$346.74	$616.60
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 $213.80 / $275.42 / $446.68	Professional		$213.80	$275.42	$446.68