Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.96 / $950.00 / $1,831.00	Facility		$238.96	$950.00	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.29 / $119.48 / $251.03	Facility	52	$40.29	$119.48	$251.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.12 / $47.79 / $100.41	Facility	53	$16.12	$47.79	$100.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $216.03 / $502.06	Professional		$89.57	$216.03	$502.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $93.72 / $103.49	Professional		$77.67	$93.72	$103.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.26 / $516.26 / $516.26	Facility		$516.26	$516.26	$516.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $257.00 / $496.40	Professional		$257.00	$257.00	$496.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $455.62 / $1,296.55	Facility		$415.00	$455.62	$1,296.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $217.78 / $416.37	Professional		$104.23	$217.78	$416.37
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 $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $280.45 / $595.52	Professional		$211.36	$280.45	$595.52