Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $1,311.06 / $4,598.55	Facility		$415.00	$1,311.06	$4,598.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.71 / $78.26 / $378.50	Facility	53	$31.71	$78.26	$378.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $596.00 / $1,892.50	Professional		$145.46	$596.00	$1,892.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $344.00 / $344.00	Professional		$344.00	$344.00	$344.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.02 / $2,466.02 / $2,712.62	Facility		$2,466.02	$2,466.02	$2,712.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $362.00 / $362.00	Professional		$362.00	$362.00	$362.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.73 / $732.73 / $732.73	Facility		$732.73	$732.73	$732.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $606.61 / $1,651.65	Professional		$210.42	$606.61	$1,651.65
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 / $4,939.00	Facility		$610.00	$1,305.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.79 / $1,214.28 / $2,454.55	Professional		$886.79	$1,214.28	$2,454.55