Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.07 / $3,776.00 / $9,727.00	Facility		$331.07	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.30 / $269.35 / $611.29	Facility	54	$248.30	$269.35	$611.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $331.07 / $569.99	Professional		$270.68	$331.07	$569.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.62 / $438.34 / $728.95	Facility		$210.62	$438.34	$728.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $295.97 / $453.76	Professional		$235.00	$295.97	$453.76
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 $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.25 / $377.81 / $694.02	Professional		$246.25	$377.81	$694.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $395.04 / $633.65	Facility		$288.00	$395.04	$633.65
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 / $205.79 / $400.65	Professional		$36.68	$205.79	$400.65
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 $244.54 / $326.62 / $610.98	Professional		$244.54	$326.62	$610.98