Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,146.19 / $3,840.14	Facility		$555.00	$2,146.19	$3,840.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.43 / $62.79 / $142.61	Facility	53	$28.43	$62.79	$142.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $421.35 / $930.67	Professional		$142.13	$421.35	$930.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $168.00 / $473.33	Professional		$167.97	$168.00	$473.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.68 / $196.68 / $216.34	Facility		$196.68	$196.68	$216.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $912.00 / $912.00	Professional		$912.00	$912.00	$912.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.73 / $732.73 / $732.73	Facility		$732.73	$732.73	$732.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.54 / $608.08 / $1,256.22	Professional		$210.54	$608.08	$1,256.22
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 $610.00 / $1,305.00 / $4,939.00	Facility		$610.00	$1,305.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.91 / $757.60 / $1,485.79	Professional		$548.91	$757.60	$1,485.79