Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.14 / $950.00 / $23,402.52	Facility		$182.14	$950.00	$23,402.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.11 / $93.89 / $224.35	Facility	52	$38.11	$93.89	$224.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.25 / $37.56 / $89.74	Facility	53	$15.25	$37.56	$89.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $187.78 / $380.33	Professional		$79.31	$187.78	$380.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $88.82 / $191.00	Professional		$49.74	$88.82	$191.00
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 $423.00 / $423.00 / $724.89	Professional		$423.00	$423.00	$724.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,466.79 / $1,466.79 / $1,643.53	Facility		$1,466.79	$1,466.79	$1,643.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $214.01 / $418.23	Professional		$108.68	$214.01	$418.23
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 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.26 / $291.39 / $554.91	Professional		$194.26	$291.39	$554.91