Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.08 / $2,317.50 / $9,727.00	Facility		$220.08	$2,317.50	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.06 / $181.96 / $432.26	Facility	54	$165.06	$181.96	$432.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $219.21 / $336.57	Professional		$165.18	$219.21	$336.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $250.44 / $250.44	Professional		$250.44	$250.44	$250.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $429.29 / $711.67	Facility		$208.64	$429.29	$711.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $219.07 / $369.39	Professional		$189.32	$219.07	$369.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $328.64	Facility		$100.00	$210.80	$328.64
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.05 / $230.05 / $230.05	Facility	54	$230.05	$230.05	$230.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $270.88 / $468.83	Professional		$208.15	$270.88	$468.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.08 / $273.24 / $464.41	Facility		$212.08	$273.24	$464.41
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 / $160.15 / $274.23	Professional		$34.22	$160.15	$274.23
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 $172.24 / $229.84 / $486.90	Professional		$172.24	$229.84	$486.90