Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $750.00 / $1,831.00	Facility		$123.94	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $82.14 / $92.96 / $199.33	Facility	54	$82.14	$92.96	$199.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $132.16 / $265.77	Professional		$105.90	$132.16	$265.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.56 / $128.56 / $128.56	Facility		$128.56	$128.56	$128.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Professional		$323.00	$323.00	$323.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $104.73 / $294.05	Facility		$93.56	$104.73	$294.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.96 / $204.43 / $282.66	Professional		$131.96	$204.43	$282.66
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 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $164.51 / $298.17	Professional		$120.19	$164.51	$298.17