Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.87 / $3,776.00 / $9,727.00	Facility		$374.87	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $281.14 / $302.48 / $690.92	Facility	54	$281.14	$302.48	$690.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.05 / $372.82 / $771.89	Professional		$287.05	$372.82	$771.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.61 / $356.61 / $724.68	Professional		$356.61	$356.61	$724.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $437.87 / $711.67	Facility		$205.47	$437.87	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.51 / $370.77 / $609.55	Professional		$323.51	$370.77	$609.55
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 $390.20 / $390.20 / $390.20	Facility	54	$390.20	$390.20	$390.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.33 / $436.16 / $779.38	Professional		$337.33	$436.16	$779.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $345.05 / $449.00 / $716.68	Facility		$345.05	$449.00	$716.68
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 $36.68 / $247.83 / $474.27	Professional		$36.68	$247.83	$474.27
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 $279.87 / $376.28 / $809.70	Professional		$279.87	$376.28	$809.70