Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.69 / $950.00 / $1,831.00	Facility		$447.69	$950.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $335.77 / $353.15 / $813.47	Facility	54	$335.77	$353.15	$813.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.92 / $514.71 / $1,084.61	Professional		$437.92	$514.71	$1,084.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $633.67 / $633.67 / $633.67	Professional		$633.67	$633.67	$633.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $371.82	Facility		$119.14	$133.38	$371.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.92 / $798.61 / $1,056.84	Professional		$490.92	$798.61	$1,056.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.01 / $595.20 / $1,155.55	Professional		$452.01	$595.20	$1,155.55