Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.01 / $1,040.00 / $5,248.92	Facility		$336.01	$1,040.00	$5,248.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.90 / $168.01 / $401.44	Facility	52	$37.90	$168.01	$401.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.16 / $67.20 / $160.58	Facility	53	$15.16	$67.20	$160.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $336.01 / $646.03	Professional		$77.06	$336.01	$646.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $188.68 / $321.37	Professional		$188.68	$188.68	$321.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,193.95 / $6,193.95 / $6,813.35	Facility		$6,193.95	$6,193.95	$6,813.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.00 / $461.00 / $724.89	Professional		$461.00	$461.00	$724.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.23 / $654.23 / $654.23	Facility		$654.23	$654.23	$654.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $271.77 / $762.32	Professional		$95.19	$271.77	$762.32
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 $610.00 / $1,354.00 / $4,939.00	Facility		$610.00	$1,354.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.10 / $529.33 / $991.19	Professional		$358.10	$529.33	$991.19