Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.96 / $586.66 / $9,727.00	Facility		$235.96	$586.66	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $176.97 / $188.05 / $439.99	Facility	54	$176.97	$188.05	$439.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $235.96 / $445.43	Professional		$178.40	$235.96	$445.43
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $145.69 / $169.55 / $255.64	Professional	54	$145.69	$169.55	$255.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $205.96 / $209.35	Professional		$149.94	$205.96	$209.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $435.63 / $783.12	Facility		$208.64	$435.63	$783.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $225.60 / $363.06	Professional		$188.00	$225.60	$363.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $351.09	Facility		$100.00	$210.80	$351.09
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.76 / $245.76 / $245.76	Facility	54	$245.76	$245.76	$245.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $277.08 / $470.32	Professional		$200.40	$277.08	$470.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $211.30 / $272.36 / $459.63	Facility		$211.30	$272.36	$459.63
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 $34.26 / $182.82 / $322.09	Professional		$34.26	$182.82	$322.09
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,167.56 / $3,585.00	Facility		$225.00	$1,167.56	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $230.38 / $516.78	Professional		$177.36	$230.38	$516.78