Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $551.85 / $6,718.95	Facility		$96.35	$551.85	$6,718.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.02 / $87.02 / $275.93	Facility	52	$39.02	$87.02	$275.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $210.94 / $515.95	Professional		$65.59	$210.94	$515.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.14 / $91.99 / $112.10	Professional	52	$31.14	$91.99	$112.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.80 / $166.80 / $166.80	Professional		$166.80	$166.80	$166.80
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $41.70 / $41.70 / $49.06	Professional	52	$41.70	$41.70	$49.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.78 / $436.01 / $734.53	Facility		$217.78	$436.01	$734.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $154.80 / $249.98	Professional		$59.60	$154.80	$249.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $170.76	Facility		$132.88	$132.88	$170.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $168.66 / $375.63	Professional		$82.40	$168.66	$375.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $182.00 / $374.47	Facility		$74.11	$182.00	$374.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $117.56 / $134.30	Professional		$87.90	$117.56	$134.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.14 / $187.03 / $285.87	Professional		$137.14	$187.03	$285.87
United Facility/Professional Facility Modifier Low / Median / High Price $153.04 / $1,122.00 / $3,585.00	Facility		$153.04	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $250.80 / $481.37	Professional		$178.19	$250.80	$481.37