Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.25 / $428.51 / $9,062.00	Facility		$257.25	$428.51	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $250.49 / $272.93 / $629.79	Facility	54	$250.49	$272.93	$629.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.13 / $333.99 / $636.83	Professional		$259.13	$333.99	$636.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.62 / $210.62 / $210.62	Professional		$210.62	$210.62	$210.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $437.87 / $711.67	Facility		$208.64	$437.87	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $313.26 / $497.08	Professional		$274.00	$313.26	$497.08
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 $346.20 / $346.20 / $346.20	Facility	54	$346.20	$346.20	$346.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $393.87 / $689.15	Professional		$295.79	$393.87	$689.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.42 / $382.71 / $675.31	Facility		$292.42	$382.71	$675.31
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 $254.62 / $354.81 / $754.78	Professional		$254.62	$354.81	$754.78