Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.35 / $745.20 / $3,022.50	Facility		$250.35	$745.20	$3,022.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.19 / $129.06 / $284.17	Facility	52	$69.19	$129.06	$284.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $272.56 / $568.33	Professional		$123.29	$272.56	$568.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $150.65 / $180.47	Professional		$150.65	$150.65	$180.47
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 $365.00 / $365.00 / $365.00	Professional		$365.00	$365.00	$365.00
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 $141.69 / $269.01 / $398.59	Professional		$141.69	$269.01	$398.59
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 / $1,530.00 / $3,461.75	Facility		$610.00	$1,530.00	$3,461.75
United Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $345.64 / $657.69	Professional		$232.08	$345.64	$657.69