Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.34 / $1,140.00 / $2,621.69	Facility		$383.34	$1,140.00	$2,621.69
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $77.67 / $191.67 / $735.36	Facility	52	$77.67	$191.67	$735.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $587.52 / $1,648.43	Professional		$138.65	$587.52	$1,648.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $168.58 / $337.15	Professional		$168.58	$168.58	$337.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.88 / $753.88 / $753.88	Facility		$753.88	$753.88	$753.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $376.00 / $376.00	Professional		$376.00	$376.00	$376.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.23 / $654.23 / $850.95	Facility		$654.23	$654.23	$850.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.26 / $466.71 / $1,098.80	Professional		$206.26	$466.71	$1,098.80
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 $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.12 / $987.80 / $2,197.17	Professional		$555.12	$987.80	$2,197.17