Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.51 / $3,233.93 / $8,788.91	Facility		$267.51	$3,233.93	$8,788.91
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.46 / $133.76 / $278.54	Facility	52	$58.46	$133.76	$278.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.38 / $53.50 / $111.42	Facility	53	$23.38	$53.50	$111.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $197.05 / $468.43	Professional		$80.63	$197.05	$468.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $118.34 / $140.00	Professional		$83.61	$118.34	$140.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $2,264.81 / $4,422.62	Facility		$780.00	$2,264.81	$4,422.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $187.93 / $356.95	Professional		$81.67	$187.93	$356.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,021.41 / $2,021.41 / $2,597.55	Facility		$2,021.41	$2,021.41	$2,597.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $212.00 / $407.14	Professional		$122.22	$212.00	$407.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.92 / $272.50 / $456.77	Facility		$116.92	$272.50	$456.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $1,788.46 / $2,203.92	Professional		$483.55	$1,788.46	$2,203.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.94 / $224.35 / $335.62	Professional		$178.94	$224.35	$335.62
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $7,558.00	Facility		$461.00	$3,866.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.64 / $287.02 / $555.90	Professional		$202.64	$287.02	$555.90