Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.34 / $1,588.17 / $5,889.00	Facility		$442.34	$1,588.17	$5,889.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.25 / $221.17 / $472.44	Facility	52	$105.25	$221.17	$472.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.09 / $307.77 / $575.04	Professional		$159.09	$307.77	$575.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $115.24 / $144.26	Professional		$112.83	$115.24	$144.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $2,138.92 / $3,997.10	Facility		$856.00	$2,138.92	$3,997.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $401.15 / $640.41	Professional		$161.18	$401.15	$640.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $2,048.92 / $2,632.90	Facility		$505.00	$2,048.92	$2,632.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.42 / $366.69 / $717.44	Professional		$222.42	$366.69	$717.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $437.26 / $652.97	Facility		$210.50	$437.26	$652.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $469.90 / $1,812.80 / $2,093.60	Professional		$469.90	$1,812.80	$2,093.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $412.02 / $642.17	Professional		$301.86	$412.02	$642.17
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 $348.51 / $482.42 / $865.79	Professional		$348.51	$482.42	$865.79