Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.10 / $750.00 / $1,831.00	Facility		$193.10	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $136.56 / $144.83 / $330.84	Facility	54	$136.56	$144.83	$330.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $206.11 / $441.12	Professional		$163.80	$206.11	$441.12
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $131.71 / $159.37 / $330.84	Professional	54	$131.71	$159.37	$330.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $217.25 / $283.07	Professional		$123.80	$217.25	$283.07
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 $533.00 / $533.00 / $533.00	Professional		$533.00	$533.00	$533.00
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 $202.90 / $330.51 / $429.29	Professional		$202.90	$330.51	$429.29
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 $188.84 / $241.75 / $461.21	Professional		$188.84	$241.75	$461.21