Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.56 / $3,776.00 / $9,727.00	Facility		$243.56	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $182.67 / $207.59 / $472.86	Facility	54	$182.67	$207.59	$472.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.72 / $238.38 / $370.88	Professional		$181.72	$238.38	$370.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.33 / $128.33 / $128.33	Professional		$128.33	$128.33	$128.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $388.34 / $687.05	Facility		$205.47	$388.34	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.66 / $246.45 / $414.09	Professional		$208.66	$246.45	$414.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $362.57	Facility		$100.00	$210.80	$362.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.80 / $253.80 / $253.80	Facility	54	$253.80	$253.80	$253.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $297.49 / $534.90	Professional		$225.40	$297.49	$534.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.11 / $304.47 / $490.84	Facility		$235.11	$304.47	$490.84
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 $34.22 / $194.79 / $327.36	Professional		$34.22	$194.79	$327.36
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 $193.33 / $260.58 / $554.19	Professional		$193.33	$260.58	$554.19