Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $310.82 / $738.25	Facility		$233.45	$310.82	$738.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.54 / $291.89 / $553.69	Facility	54	$229.54	$291.89	$553.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.33 / $283.92 / $450.77	Professional		$219.33	$283.92	$450.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.01 / $318.01 / $318.01	Professional		$318.01	$318.01	$318.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.69 / $429.29 / $656.88	Facility		$220.69	$429.29	$656.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $278.31 / $432.96	Professional		$194.00	$278.31	$432.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $460.77	Facility		$100.00	$210.80	$460.77
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.48 / $345.01 / $648.52	Professional		$250.48	$345.01	$648.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $265.41 / $366.90 / $573.91	Facility		$265.41	$366.90	$573.91
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 $34.26 / $152.09 / $371.54	Professional		$34.26	$152.09	$371.54
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 $224.53 / $291.60 / $666.05	Professional		$224.53	$291.60	$666.05