Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.19 / $1,165.47 / $9,062.00	Facility		$510.19	$1,165.47	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $382.64 / $968.36 / $1,342.25	Facility	54	$382.64	$968.36	$1,342.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.40 / $506.74 / $733.94	Professional		$388.40	$506.74	$733.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.03 / $524.03 / $524.03	Professional		$524.03	$524.03	$524.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.84 / $1,247.22 / $2,407.73	Facility		$623.84	$1,247.22	$2,407.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.13 / $616.00 / $999.40	Professional		$439.13	$616.00	$999.40
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 $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.78 / $612.66 / $1,102.95	Professional		$495.78	$612.66	$1,102.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $488.41 / $649.88 / $1,010.80	Facility		$488.41	$649.88	$1,010.80
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 / $363.67 / $683.90	Professional		$75.30	$363.67	$683.90
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 $396.02 / $528.02 / $1,141.79	Professional		$396.02	$528.02	$1,141.79