Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,265.80 / $9,772.37	Facility		$389.05	$4,265.80	$9,772.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $630.96	Professional		$275.42	$346.74	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $354.81	Professional		$190.55	$204.17	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $707.95	Facility		$213.80	$407.38	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $501.19	Professional		$288.40	$363.08	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $575.44	Facility		$371.54	$524.81	$575.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	54	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $707.95	Professional		$288.40	$416.87	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $794.33	Professional		$489.78	$489.78	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $724.44	Facility		$302.00	$407.38	$724.44
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 $251.19 / $331.13 / $524.81	Professional		$251.19	$331.13	$524.81