Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.50 / $750.00 / $1,831.00	Facility		$275.50	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $190.94 / $206.63 / $462.59	Facility	54	$190.94	$206.63	$462.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $305.16 / $616.78	Professional		$250.00	$305.16	$616.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $178.65 / $392.07	Professional		$173.51	$178.65	$392.07
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 $680.00 / $680.00 / $680.00	Professional		$680.00	$680.00	$680.00
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 $277.70 / $449.80 / $594.83	Professional		$277.70	$449.80	$594.83
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 $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.52 / $333.47 / $639.35	Professional		$259.52	$333.47	$639.35