Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $906.27 / $1,831.00	Facility		$415.00	$906.27	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.30 / $316.98 / $696.04	Facility	54	$287.30	$316.98	$696.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.97 / $467.82 / $928.05	Professional		$373.97	$467.82	$928.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $615.42 / $615.42 / $615.42	Professional		$615.42	$615.42	$615.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.90 / $926.90 / $926.90	Facility		$926.90	$926.90	$926.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.00 / $1,103.00 / $1,103.00	Professional		$1,103.00	$1,103.00	$1,103.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.66 / $867.23 / $1,240.31	Facility		$774.66	$867.23	$1,240.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.36 / $690.89 / $946.12	Professional		$428.36	$690.89	$946.12
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.79 / $528.50 / $1,100.81	Professional		$403.79	$528.50	$1,100.81