Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.23 / $512.40 / $9,062.00	Facility		$188.23	$512.40	$9,062.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $123.73 / $220.85 / $327.33	Facility	54	$123.73	$220.85	$327.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $162.19 / $218.37	Professional		$123.35	$162.19	$218.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $388.34 / $656.88	Facility		$205.47	$388.34	$656.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $155.10 / $247.96	Professional		$130.00	$155.10	$247.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $179.82 / $245.60	Facility		$100.00	$179.82	$245.60
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.92 / $171.92 / $171.92	Facility	54	$171.92	$171.92	$171.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $202.19 / $363.76	Professional		$141.10	$202.19	$363.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.33 / $199.61 / $335.89	Facility		$152.33	$199.61	$335.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $128.48 / $222.27	Professional		$34.26	$128.48	$222.27
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 $129.78 / $170.52 / $378.14	Professional		$129.78	$170.52	$378.14