Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.06 / $3,776.00 / $9,062.00	Facility		$356.06	$3,776.00	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.05 / $288.92 / $666.37	Facility	54	$267.05	$288.92	$666.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.81 / $326.99 / $510.54	Professional		$262.81	$326.99	$510.54
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 $286.00 / $333.25 / $518.84	Professional		$286.00	$333.25	$518.84
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 $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $413.68 / $744.46	Professional		$298.00	$413.68	$744.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $315.13 / $423.71 / $692.74	Facility		$315.13	$423.71	$692.74
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 / $239.84 / $449.09	Professional		$36.68	$239.84	$449.09
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 $270.27 / $356.90 / $775.50	Professional		$270.27	$356.90	$775.50