Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.11 / $3,776.00 / $9,727.00	Facility		$575.11	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $431.33 / $454.59 / $1,049.06	Facility	54	$431.33	$454.59	$1,049.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.61 / $545.10 / $784.32	Professional		$463.61	$545.10	$784.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $359.88 / $679.28 / $679.28	Professional		$359.88	$679.28	$679.28
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 $493.95 / $538.47 / $891.14	Professional		$493.95	$538.47	$891.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $855.54	Facility		$210.80	$375.00	$855.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $598.88	Facility	54	$598.88	$598.88	$598.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.04 / $661.54 / $1,171.33	Professional		$523.04	$661.54	$1,171.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $525.39 / $674.31 / $1,095.07	Facility		$525.39	$674.31	$1,095.07
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 $427.21 / $572.85 / $1,208.33	Professional		$427.21	$572.85	$1,208.33