Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.68 / $784.00 / $1,831.00	Facility		$246.68	$784.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $155.21 / $197.34 / $445.71	Facility	54	$155.21	$197.34	$445.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $246.68 / $594.28	Professional		$188.12	$246.68	$594.28
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $144.60 / $173.78 / $445.71	Professional	54	$144.60	$173.78	$445.71
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $28.92 / $34.76 / $89.14	Professional	55	$28.92	$34.76	$89.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.41 / $176.41 / $176.41	Facility		$176.41	$176.41	$176.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $830.00 / $830.00	Professional		$830.00	$830.00	$830.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $149.46 / $771.45	Facility		$135.19	$149.46	$771.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $353.20 / $595.12	Professional		$191.41	$353.20	$595.12
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 $455.00 / $825.00 / $1,957.00	Facility		$455.00	$825.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $302.72 / $653.23	Professional		$227.04	$302.72	$653.23