Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.25 / $750.00 / $1,831.00	Facility		$273.25	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $193.07 / $204.94 / $467.74	Facility	54	$193.07	$204.94	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $364.48 / $623.65	Professional		$269.52	$364.48	$623.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.36 / $386.36 / $386.36	Professional		$386.36	$386.36	$386.36
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 $798.00 / $798.00 / $798.00	Professional		$798.00	$798.00	$798.00
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 $280.22 / $466.89 / $648.45	Professional		$280.22	$466.89	$648.45
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 $216.00 / $491.00 / $1,650.00	Facility		$216.00	$491.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $353.24 / $802.34	Professional		$266.88	$353.24	$802.34