Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.76 / $3,776.00 / $9,727.00	Facility		$550.76	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $413.07 / $421.10 / $950.75	Facility	54	$413.07	$421.10	$950.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.13 / $510.20 / $713.74	Professional		$444.13	$510.20	$713.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $438.34 / $728.95	Facility		$208.64	$438.34	$728.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.00 / $501.12 / $777.30	Professional		$437.00	$501.12	$777.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $818.60	Facility		$210.80	$375.00	$818.60
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.58 / $615.26 / $1,085.03	Professional		$469.58	$615.26	$1,085.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.31 / $645.21 / $1,037.55	Facility		$479.31	$645.21	$1,037.55
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 $75.30 / $365.35 / $668.85	Professional		$75.30	$365.35	$668.85
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 $393.23 / $515.13 / $1,120.08	Professional		$393.23	$515.13	$1,120.08