Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.67 / $750.00 / $1,831.00	Facility		$289.67	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $201.56 / $217.25 / $488.33	Facility	54	$201.56	$217.25	$488.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $297.10 / $651.10	Professional		$248.03	$297.10	$651.10
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 $715.00 / $715.00 / $715.00	Professional		$715.00	$715.00	$715.00
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 $293.10 / $475.35 / $636.09	Professional		$293.10	$475.35	$636.09
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 $267.60 / $353.24 / $678.32	Professional		$267.60	$353.24	$678.32