Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.12 / $738.00 / $3,109.00	Facility		$149.12	$738.00	$3,109.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.98 / $93.45 / $192.70	Facility	52	$59.98	$93.45	$192.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.99 / $37.38 / $77.08	Facility	53	$23.99	$37.38	$77.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $186.90 / $292.26	Professional		$104.35	$186.90	$292.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $168.21 / $251.54	Professional		$60.55	$168.21	$251.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,029.72 / $3,029.72 / $3,635.66	Facility		$3,029.72	$3,029.72	$3,635.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $124.09 / $278.01	Professional		$84.38	$124.09	$278.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.77 / $1,126.77 / $1,126.77	Facility		$1,126.77	$1,126.77	$1,126.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $218.57 / $389.41	Professional		$134.72	$218.57	$389.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $148.04 / $161.62	Professional		$69.63	$148.04	$161.62
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $326.72 / $431.91	Professional		$194.71	$326.72	$431.91