Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.45 / $1,241.52 / $7,799.00	Facility		$478.45	$1,241.52	$7,799.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.96 / $843.57 / $2,920.76	Facility	54	$371.96	$843.57	$2,920.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.50 / $495.94 / $807.98	Professional		$405.50	$495.94	$807.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.58 / $365.58 / $365.58	Professional		$365.58	$365.58	$365.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $895.52 / $2,108.55	Facility		$306.83	$895.52	$2,108.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.51 / $524.00 / $932.05	Professional		$426.51	$524.00	$932.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $580.00 / $1,370.63	Facility		$375.00	$580.00	$1,370.63
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $517.01 / $517.01 / $517.01	Facility	54	$517.01	$517.01	$517.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.20 / $593.89 / $1,062.58	Professional		$475.20	$593.89	$1,062.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.25 / $617.62 / $975.29	Facility		$478.25	$617.62	$975.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $360.56 / $652.72	Professional		$75.30	$360.56	$652.72
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.29 / $503.08 / $1,100.48	Professional		$381.29	$503.08	$1,100.48