Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $1,647.00 / $4,692.49	Facility		$248.18	$1,647.00	$4,692.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $107.24 / $528.41 / $1,262.64	Facility	52	$107.24	$528.41	$1,262.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $1,056.83 / $2,034.27	Professional		$198.15	$1,056.83	$2,034.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $107.24 / $535.08 / $2,636.52	Professional	52	$107.24	$535.08	$2,636.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $289.10 / $1,006.65	Professional		$289.10	$289.10	$1,006.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,784.26 / $2,784.26 / $2,784.26	Facility		$2,784.26	$2,784.26	$2,784.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $2,677.18	Professional		$288.00	$288.00	$2,677.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,720.39 / $2,720.39 / $2,720.39	Facility		$2,720.39	$2,720.39	$2,720.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.38 / $854.39 / $2,398.90	Professional		$240.38	$854.39	$2,398.90
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 $1,185.00 / $5,800.00 / $14,043.00	Facility		$1,185.00	$5,800.00	$14,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.78 / $1,651.67 / $3,210.17	Professional		$1,159.78	$1,651.67	$3,210.17