Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.01 / $3,776.00 / $9,727.00	Facility		$350.01	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $262.51 / $283.55 / $644.42	Facility	54	$262.51	$283.55	$644.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $328.88 / $530.72	Professional		$266.30	$328.88	$530.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.34 / $389.34 / $389.34	Professional		$389.34	$389.34	$389.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.62 / $438.34 / $728.95	Facility		$210.62	$438.34	$728.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.67 / $336.09 / $535.47	Professional		$299.67	$336.09	$535.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $580.00	Facility		$210.80	$375.00	$580.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.69 / $364.69 / $364.69	Facility	54	$364.69	$364.69	$364.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $399.67 / $730.62	Professional		$290.20	$399.67	$730.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $416.00 / $667.98	Facility		$316.00	$416.00	$667.98
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 $34.26 / $176.37 / $445.76	Professional		$34.26	$176.37	$445.76
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 $257.94 / $336.19 / $677.94	Professional		$257.94	$336.19	$677.94