Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $4,897.79 / $16,595.87	Facility		$138.04	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $275.42	Professional		$104.71	$144.54	$275.42
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $114.82 / $141.25 / $229.09	Professional	54	$114.82	$141.25	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $123.03	Professional		$97.72	$97.72	$123.03
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $69.18 / $74.13 / $77.62	Professional	54	$69.18	$74.13	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $676.08	Facility		$204.17	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $181.97	Professional		$102.33	$128.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $208.93	Facility		$100.00	$131.83	$208.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	54	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $275.42	Professional		$112.20	$154.88	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $281.84	Professional		$169.82	$169.82	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $269.15	Facility		$114.82	$154.88	$269.15
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 $95.50 / $123.03 / $204.17	Professional		$95.50	$123.03	$204.17