Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $803.35 / $9,727.00	Facility		$335.38	$803.35	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.54 / $267.60 / $602.51	Facility	54	$251.54	$267.60	$602.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $339.36 / $496.39	Professional		$284.60	$339.36	$496.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.03 / $197.03 / $367.23	Professional		$197.03	$197.03	$367.23
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 $290.18 / $353.53 / $618.91	Professional		$290.18	$353.53	$618.91
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 $349.05 / $349.05 / $349.05	Facility	54	$349.05	$349.05	$349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $434.60 / $689.51	Professional		$330.23	$434.60	$689.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $319.26 / $452.76 / $652.00	Facility		$319.26	$452.76	$652.00
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 $251.18 / $351.66 / $714.42	Professional		$251.18	$351.66	$714.42