Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.64 / $784.00 / $1,831.00	Facility		$297.64	$784.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.08 / $223.23 / $515.47	Facility	54	$177.08	$223.23	$515.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $281.51 / $687.29	Professional		$220.50	$281.51	$687.29
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $165.38 / $211.13 / $537.79	Professional	54	$165.38	$211.13	$537.79
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $33.08 / $42.23 / $107.56	Professional	55	$33.08	$42.23	$107.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $510.45 / $510.45 / $510.45	Professional	50	$510.45	$510.45	$510.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.78 / $246.78 / $246.78	Facility		$246.78	$246.78	$246.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $702.00 / $702.00	Professional		$702.00	$702.00	$702.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.72 / $206.42 / $771.45	Facility		$186.72	$206.42	$771.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.13 / $385.12 / $715.23	Professional		$219.13	$385.12	$715.23
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 $275.08 / $361.35 / $761.42	Professional		$275.08	$361.35	$761.42