Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.99 / $654.71 / $4,751.00	Facility		$214.99	$654.71	$4,751.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $289.45 / $335.39 / $840.65	Facility	54	$289.45	$335.39	$840.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.36 / $447.18 / $650.16	Professional		$378.36	$447.18	$650.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.04 / $429.29 / $711.67	Facility		$205.04	$429.29	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.49 / $424.16 / $703.32	Professional		$380.49	$424.16	$703.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $664.33	Facility		$210.80	$375.00	$664.33
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.03 / $465.03 / $465.03	Facility	54	$465.03	$465.03	$465.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.05 / $531.04 / $954.09	Professional		$376.05	$531.04	$954.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.52 / $543.08 / $875.25	Facility		$407.52	$543.08	$875.25
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 / $311.65 / $600.10	Professional		$36.68	$311.65	$600.10
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 $345.41 / $462.37 / $985.63	Professional		$345.41	$462.37	$985.63