Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.64 / $569.97 / $1,831.00	Facility		$292.64	$569.97	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $132.90 / $146.33 / $321.98	Facility	52	$132.90	$146.33	$321.98
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $199.35 / $219.49 / $482.96	Facility	54	$199.35	$219.49	$482.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $298.70 / $643.95	Professional		$232.16	$298.70	$643.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.71 / $436.32 / $484.80	Professional		$342.71	$436.32	$484.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.00 / $748.00 / $748.00	Professional		$748.00	$748.00	$748.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $371.82	Facility		$119.14	$133.38	$371.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $468.18 / $614.58	Professional		$292.31	$468.18	$614.58
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 $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $345.56 / $672.54	Professional		$264.31	$345.56	$672.54