Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $2,647.99 / $4,751.00	Facility		$264.00	$2,647.99	$4,751.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.27 / $261.50 / $1,108.40	Facility	52	$58.27	$261.50	$1,108.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.31 / $23.31 / $104.60	Facility	53	$23.31	$23.31	$104.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $150.30 / $522.99	Professional		$81.62	$150.30	$522.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $123.14 / $144.87	Professional		$82.68	$123.14	$144.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,236.41 / $3,708.08	Facility		$800.00	$1,236.41	$3,708.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $122.19 / $410.65	Professional		$79.98	$122.19	$410.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.65 / $804.65 / $1,033.99	Facility		$804.65	$804.65	$1,033.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $239.19 / $728.58	Professional		$108.03	$239.19	$728.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $403.03 / $772.05	Facility		$99.06	$403.03	$772.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $619.27 / $711.91 / $879.57	Professional		$619.27	$711.91	$879.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $408.51 / $614.35	Professional		$321.75	$408.51	$614.35
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $9,951.00	Facility		$659.00	$6,607.00	$9,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.27 / $535.98 / $997.76	Professional		$376.27	$535.98	$997.76