Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.96 / $2,227.42 / $5,553.51	Facility		$146.96	$2,227.42	$5,553.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.33 / $40.33 / $73.48	Facility	52	$40.33	$40.33	$73.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $134.99 / $449.65	Professional		$67.70	$134.99	$449.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $130.56 / $217.40	Professional		$65.66	$130.56	$217.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.57 / $890.39 / $1,754.18	Facility		$413.57	$890.39	$1,754.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $140.33 / $232.50	Professional		$67.70	$140.33	$232.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.45 / $480.45 / $617.39	Facility		$480.45	$480.45	$617.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $155.97 / $260.39	Professional		$92.71	$155.97	$260.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $160.13 / $239.77	Facility		$80.66	$160.13	$239.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $425.08 / $507.71	Professional		$80.16	$425.08	$507.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $170.71 / $337.06	Professional		$119.77	$170.71	$337.06