Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.95 / $1,424.22 / $9,870.00	Facility		$474.95	$1,424.22	$9,870.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $425.76 / $464.81 / $1,068.17	Facility	54	$425.76	$464.81	$1,068.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.84 / $526.54 / $867.01	Professional		$436.84	$526.54	$867.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.75 / $330.75 / $330.75	Professional		$330.75	$330.75	$330.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,368.19 / $4,120.05 / $7,860.56	Facility		$1,368.19	$4,120.05	$7,860.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.72 / $579.28 / $965.54	Professional		$485.72	$579.28	$965.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $580.00 / $1,370.63	Facility		$375.00	$580.00	$1,370.63
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.41 / $670.00 / $1,197.64	Professional		$549.41	$670.00	$1,197.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $694.22 / $1,117.67	Facility		$542.35	$694.22	$1,117.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $380.60 / $706.91	Professional		$75.30	$380.60	$706.91
United Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $6,607.00 / $8,667.00	Facility		$729.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.16 / $573.25 / $1,234.55	Professional		$436.16	$573.25	$1,234.55