Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.17 / $3,063.00 / $7,591.56	Facility		$873.17	$3,063.00	$7,591.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.26 / $174.63 / $417.28	Facility	53	$59.26	$174.63	$417.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.74 / $1,077.25 / $2,086.42	Professional		$307.74	$1,077.25	$2,086.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $370.50 / $735.07	Professional		$206.74	$370.50	$735.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,743.60 / $1,743.60 / $1,743.60	Facility		$1,743.60	$1,743.60	$1,743.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.00 / $1,402.00 / $1,676.54	Professional		$1,402.00	$1,402.00	$1,676.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.53 / $1,643.53 / $3,888.72	Facility		$1,643.53	$1,643.53	$3,888.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.72 / $739.99 / $2,089.31	Professional		$390.72	$739.99	$2,089.31
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 $860.00 / $3,226.00 / $8,411.00	Facility		$860.00	$3,226.00	$8,411.00
United Facility/Professional Professional Modifier Low / Median / High Price $994.23 / $1,437.77 / $2,837.06	Professional		$994.23	$1,437.77	$2,837.06