Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.15 / $4,043.37 / $7,796.98	Facility		$701.15	$4,043.37	$7,796.98
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.75 / $108.43 / $2,990.64	Facility	53	$35.75	$108.43	$2,990.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $499.59 / $1,093.94	Professional		$161.41	$499.59	$1,093.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.54 / $269.54 / $269.54	Professional		$269.54	$269.54	$269.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,234.02 / $2,933.38 / $5,557.02	Facility		$1,234.02	$2,933.38	$5,557.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $438.22 / $795.68	Professional		$150.58	$438.22	$795.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.20 / $901.20 / $1,158.06	Facility		$901.20	$901.20	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $476.31 / $1,131.99	Professional		$221.13	$476.31	$1,131.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $542.16 / $1,167.86	Facility		$178.77	$542.16	$1,167.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $421.19 / $797.34 / $958.76	Professional		$421.19	$797.34	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $523.72 / $801.88	Professional		$384.01	$523.72	$801.88
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.37 / $794.01 / $1,425.00	Professional		$575.37	$794.01	$1,425.00