Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.73 / $1,028.66 / $9,727.00	Facility		$446.73	$1,028.66	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $335.05 / $338.65 / $771.50	Facility	54	$335.05	$338.65	$771.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $442.93 / $646.60	Professional		$360.80	$442.93	$646.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.62 / $1,267.85 / $2,424.29	Facility		$692.62	$1,267.85	$2,424.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.07 / $440.59 / $770.64	Professional		$369.07	$440.59	$770.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $665.91	Facility		$210.80	$375.00	$665.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.27 / $512.23 / $872.57	Professional		$399.27	$512.23	$872.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $384.40 / $531.61 / $847.30	Facility		$384.40	$531.61	$847.30
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 $36.68 / $278.93 / $533.68	Professional		$36.68	$278.93	$533.68
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 $318.64 / $416.56 / $861.44	Professional		$318.64	$416.56	$861.44