Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $3,776.00 / $10,616.38	Facility		$229.81	$3,776.00	$10,616.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.77 / $36.77 / $203.17	Facility	53	$36.77	$36.77	$203.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $858.58 / $1,983.54	Professional		$149.81	$858.58	$1,983.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $150.53 / $250.65	Professional		$150.53	$150.53	$250.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.98 / $1,865.24 / $3,821.14	Facility		$904.98	$1,865.24	$3,821.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $350.40 / $860.46	Professional		$140.03	$350.40	$860.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.20 / $901.20 / $1,158.06	Facility		$901.20	$901.20	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $431.45 / $1,928.49	Professional		$199.36	$431.45	$1,928.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $1,015.84 / $1,675.76	Facility		$183.85	$1,015.84	$1,675.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $797.34 / $797.34 / $958.76	Professional		$797.34	$797.34	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $635.04 / $907.56 / $1,395.92	Professional		$635.04	$907.56	$1,395.92
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 $887.93 / $1,286.17 / $2,311.98	Professional		$887.93	$1,286.17	$2,311.98