Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $597.04 / $9,062.00	Facility		$62.22	$597.04	$9,062.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.44 / $12.44 / $24.54	Facility	53	$12.44	$12.44	$24.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $62.22 / $204.65	Professional		$42.12	$62.22	$204.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $43.71 / $61.86	Professional		$36.39	$43.71	$61.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $97.00 / $148.00	Professional		$40.65	$97.00	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $68.51 / $100.41	Professional		$53.05	$68.51	$100.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $78.08 / $106.98	Facility		$50.06	$78.08	$106.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.55 / $63.07	Professional		$32.34	$40.55	$63.07
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $66.53 / $129.97	Professional		$44.34	$66.53	$129.97