Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $927.00 / $2,250.00	Facility		$188.22	$927.00	$2,250.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $139.63 / $139.63 / $141.16	Facility	54	$139.63	$139.63	$141.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $112.37 / $188.22	Professional		$99.73	$112.37	$188.22
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $73.09 / $84.28 / $141.16	Professional	54	$73.09	$84.28	$141.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $65.95 / $65.95	Professional		$65.95	$65.95	$65.95
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $68.94 / $68.94 / $68.94	Professional	54	$68.94	$68.94	$68.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.44 / $717.74 / $965.59	Facility		$591.44	$717.74	$965.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $117.15 / $150.19	Professional		$83.95	$117.15	$150.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $142.88 / $406.75	Professional		$101.54	$142.88	$406.75
United Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $850.00 / $1,349.00	Facility		$241.00	$850.00	$1,349.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $115.16 / $195.77	Professional		$93.92	$115.16	$195.77