Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,071.52 / $9,120.11	Facility		$213.80	$1,071.52	$9,120.11
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $288.40 / $288.40 / $512.86	Facility	54	$288.40	$288.40	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $831.76	Professional		$354.81	$436.52	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $389.05	Professional		$281.84	$281.84	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $691.83	Facility		$213.80	$398.11	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $645.65	Professional		$398.11	$467.74	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $660.69	Facility		$371.54	$575.44	$660.69
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	54	$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $891.25	Professional		$354.81	$524.81	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,000.00	Professional		$676.08	$676.08	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $933.25	Facility		$389.05	$537.03	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $676.08	Professional		$323.59	$426.58	$676.08