Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,801.89 / $9,772.37	Facility		$251.19	$3,801.89	$9,772.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	54	$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $501.19	Professional		$186.21	$275.42	$501.19
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $257.04 / $316.23 / $478.63	Professional	54	$257.04	$316.23	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $295.12	Professional		$123.03	$199.53	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $676.08	Facility		$213.80	$380.19	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $338.84	Professional		$190.55	$234.42	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $354.81	Facility		$100.00	$208.93	$354.81
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	54	$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $457.09	Professional		$199.53	$269.15	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $512.86	Professional		$331.13	$331.13	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $478.63	Facility		$199.53	$275.42	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $346.74	Professional		$169.82	$213.80	$346.74