Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.00 / $750.00 / $1,831.00	Facility		$219.00	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $152.81 / $164.25 / $370.19	Facility	54	$152.81	$164.25	$370.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $230.70 / $493.59	Professional		$195.15	$230.70	$493.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.73 / $320.73 / $481.34	Professional		$320.73	$320.73	$481.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.00 / $653.00 / $653.00	Professional		$653.00	$653.00	$653.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $371.82	Facility		$119.14	$133.38	$371.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.82 / $369.85 / $487.12	Professional		$226.82	$369.85	$487.12
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 $225.00 / $478.86 / $1,650.00	Facility		$225.00	$478.86	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $279.68 / $532.74	Professional		$205.44	$279.68	$532.74