Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.95 / $836.28 / $9,062.00	Facility		$306.95	$836.28	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.27 / $276.79 / $627.21	Facility	54	$266.27	$276.79	$627.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $345.73 / $538.48	Professional		$266.35	$345.73	$538.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.38 / $261.38 / $261.38	Professional		$261.38	$261.38	$261.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $437.87 / $711.67	Facility		$208.64	$437.87	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $344.10 / $556.45	Professional		$301.20	$344.10	$556.45
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 $370.13 / $370.13 / $370.13	Facility	54	$370.13	$370.13	$370.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.26 / $402.78 / $713.19	Professional		$321.26	$402.78	$713.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $422.06 / $665.47	Facility		$324.39	$422.06	$665.47
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 / $212.18 / $427.94	Professional		$36.68	$212.18	$427.94
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 $253.16 / $337.12 / $750.87	Professional		$253.16	$337.12	$750.87