Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.60 / $3,776.00 / $9,727.00	Facility		$555.60	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $416.70 / $452.98 / $1,037.60	Facility	54	$416.70	$452.98	$1,037.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $512.22 / $681.09	Professional		$424.80	$512.22	$681.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.06 / $413.06 / $413.06	Professional		$413.06	$413.06	$413.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.62 / $1,329.80 / $2,488.86	Facility		$692.62	$1,329.80	$2,488.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.65 / $573.82 / $998.71	Professional		$474.65	$573.82	$998.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $823.44	Facility		$210.80	$375.00	$823.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.94 / $670.50 / $1,167.18	Professional		$530.94	$670.50	$1,167.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $523.24 / $687.78 / $1,077.27	Facility		$523.24	$687.78	$1,077.27
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 / $380.60 / $706.91	Professional		$75.30	$380.60	$706.91
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 $425.00 / $569.07 / $1,147.41	Professional		$425.00	$569.07	$1,147.41