Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,023.29 / $9,772.37	Facility		$281.84	$1,023.29	$9,772.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	54	$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $302.00	Professional		$125.89	$162.18	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $676.08	Facility		$213.80	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $223.87	Professional		$131.83	$165.96	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.83 / $245.47	Facility		$100.00	$177.83	$245.47
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $338.84	Professional		$134.90	$199.53	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $380.19	Professional		$213.80	$213.80	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $346.74	Facility		$141.25	$199.53	$346.74
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 $117.49 / $158.49 / $251.19	Professional		$117.49	$158.49	$251.19