Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $750.00 / $1,831.00	Facility		$298.27	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $204.83 / $223.70 / $496.25	Facility	54	$204.83	$223.70	$496.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.93 / $330.31 / $661.66	Professional		$253.93	$330.31	$661.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $319.16 / $428.13	Professional		$157.94	$319.16	$428.13
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 $792.00 / $792.00 / $792.00	Professional		$792.00	$792.00	$792.00
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 $303.45 / $483.83 / $649.99	Professional		$303.45	$483.83	$649.99
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 $287.11 / $365.28 / $701.12	Professional		$287.11	$365.28	$701.12