Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $3,776.00 / $9,727.00	Facility		$143.63	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $107.73 / $121.85 / $293.98	Facility	54	$107.73	$121.85	$293.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $143.63 / $228.30	Professional		$109.24	$143.63	$228.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $168.14 / $168.14	Professional		$168.14	$168.14	$168.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $409.97 / $687.05	Facility		$208.64	$409.97	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $134.51 / $211.17	Professional		$101.00	$134.51	$211.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.53 / $214.05	Facility		$100.00	$165.53	$214.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $149.84 / $149.84 / $149.84	Facility	54	$149.84	$149.84	$149.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $176.79 / $313.97	Professional		$122.25	$176.79	$313.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.91 / $173.06 / $302.27	Facility		$126.91	$173.06	$302.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $156.05 / $156.05	Professional		$156.05	$156.05	$156.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $105.44 / $185.18	Professional		$31.57	$105.44	$185.18
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $153.38 / $326.33	Professional		$115.19	$153.38	$326.33