Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.47 / $455.67 / $9,062.00	Facility		$283.47	$455.67	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $198.94 / $213.89 / $499.53	Facility	54	$198.94	$213.89	$499.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $255.44 / $509.88	Professional		$202.76	$255.44	$509.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $435.63 / $711.67	Facility		$205.47	$435.63	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $267.91 / $440.82	Professional		$229.23	$267.91	$440.82
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 $275.81 / $275.81 / $275.81	Facility	54	$275.81	$275.81	$275.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.09 / $315.41 / $551.13	Professional		$237.09	$315.41	$551.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.61 / $321.30 / $530.00	Facility		$246.61	$321.30	$530.00
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 $31.57 / $205.33 / $354.39	Professional		$31.57	$205.33	$354.39
United Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $1,122.00 / $3,585.00	Facility		$178.16	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $271.20 / $571.92	Professional		$200.64	$271.20	$571.92