Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $780.12 / $2,010.00	Facility		$109.73	$780.12	$2,010.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.95 / $57.67 / $97.59	Facility	52	$31.95	$57.67	$97.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $115.33 / $254.74	Professional		$63.89	$115.33	$254.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $163.12 / $174.77	Professional		$82.95	$163.12	$174.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.56 / $1,414.56 / $1,551.86	Facility		$1,414.56	$1,414.56	$1,551.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Professional		$154.00	$154.00	$154.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.63 / $390.63 / $390.63	Facility		$390.63	$390.63	$390.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $152.38 / $249.97	Professional		$94.64	$152.38	$249.97
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 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $141.72 / $288.00	Professional		$119.39	$141.72	$288.00