Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.96 / $795.54 / $9,062.00	Facility		$354.96	$795.54	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.22 / $291.42 / $666.29	Facility	54	$266.22	$291.42	$666.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $329.76 / $425.45	Professional		$260.20	$329.76	$425.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.22 / $314.22 / $314.22	Professional		$314.22	$314.22	$314.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.62 / $438.34 / $728.95	Facility		$210.62	$438.34	$728.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $336.68 / $520.66	Professional		$287.00	$336.68	$520.66
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 $369.72 / $369.72 / $369.72	Facility	54	$369.72	$369.72	$369.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.19 / $415.35 / $750.88	Professional		$304.19	$415.35	$750.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $321.30 / $426.00 / $692.76	Facility		$321.30	$426.00	$692.76
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 / $237.61 / $448.96	Professional		$36.68	$237.61	$448.96
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 $270.05 / $363.38 / $782.10	Professional		$270.05	$363.38	$782.10