Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $676.00 / $3,421.25	Facility		$135.55	$676.00	$3,421.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $67.78 / $124.31 / $273.70	Facility	52	$67.78	$124.31	$273.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $270.93 / $547.41	Professional		$130.34	$270.93	$547.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $148.50 / $151.36	Professional		$145.94	$148.50	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.20 / $795.20 / $795.20	Facility		$795.20	$795.20	$795.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $435.00 / $435.00	Professional		$435.00	$435.00	$435.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $819.48 / $819.48 / $1,834.78	Facility		$819.48	$819.48	$1,834.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $262.45 / $398.93	Professional		$139.66	$262.45	$398.93
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 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $334.75 / $644.70	Professional		$222.73	$334.75	$644.70