Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.62 / $927.00 / $2,250.00	Facility		$343.62	$927.00	$2,250.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $242.88 / $242.88 / $257.72	Facility	54	$242.88	$242.88	$257.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $196.40 / $343.62	Professional		$163.80	$196.40	$343.62
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $124.94 / $147.30 / $257.72	Professional	54	$124.94	$147.30	$257.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $123.68 / $215.61	Professional		$123.68	$123.68	$215.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.44 / $717.74 / $965.59	Facility		$591.44	$717.74	$965.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $225.71 / $282.14	Professional		$156.80	$225.71	$282.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $238.70 / $688.52	Professional		$181.64	$238.70	$688.52
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $750.00 / $1,326.00	Facility		$250.00	$750.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $207.01 / $351.92	Professional		$169.44	$207.01	$351.92