Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $568.15 / $9,062.00	Facility		$102.90	$568.15	$9,062.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.45 / $119.07 / $284.07	Facility	52	$51.45	$119.07	$284.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.58 / $47.63 / $113.63	Facility	53	$20.58	$47.63	$113.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $192.56 / $326.83	Professional		$85.37	$192.56	$326.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $86.77 / $115.43	Professional		$44.40	$86.77	$115.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.38 / $1,368.41 / $3,261.33	Facility		$520.38	$1,368.41	$3,261.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $231.07 / $407.02	Professional		$83.95	$231.07	$407.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $425.00 / $663.59	Facility		$360.00	$425.00	$663.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $235.54 / $477.57	Professional		$111.99	$235.54	$477.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $266.98 / $510.92	Facility		$102.90	$266.98	$510.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $394.00 / $605.87	Professional		$195.00	$394.00	$605.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $259.15 / $393.63	Professional		$191.96	$259.15	$393.63
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $264.58 / $565.04	Professional		$193.93	$264.58	$565.04