Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $750.00 / $1,831.00	Facility		$106.14	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $78.76 / $79.61 / $190.80	Facility	54	$78.76	$79.61	$190.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $120.50 / $254.40	Professional		$102.07	$120.50	$254.40
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $78.53 / $90.85 / $190.80	Professional	54	$78.53	$90.85	$190.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $124.26 / $124.26	Professional		$124.26	$124.26	$124.26
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $136.50 / $136.50 / $136.50	Professional	54	$136.50	$136.50	$136.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Facility		$101.80	$101.80	$101.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $286.00 / $286.00	Professional		$286.00	$286.00	$286.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $82.99 / $294.05	Facility		$74.13	$82.99	$294.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $192.24 / $242.45	Professional		$120.40	$192.24	$242.45
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 $102.83 / $137.11 / $262.82	Professional		$102.83	$137.11	$262.82