Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.68 / $936.00 / $3,148.43	Facility		$276.68	$936.00	$3,148.43
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.71 / $136.04 / $285.81	Facility	52	$56.71	$136.04	$285.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.68 / $54.41 / $114.32	Facility	53	$22.68	$54.41	$114.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $263.06 / $540.96	Professional		$113.41	$263.06	$540.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $139.97 / $274.64	Professional		$99.98	$139.97	$274.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.07 / $542.07 / $596.28	Facility		$542.07	$542.07	$596.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.40 / $513.00 / $513.00	Professional		$496.40	$513.00	$513.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.00 / $520.77 / $1,296.55	Facility		$403.00	$520.77	$1,296.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $289.05 / $527.00	Professional		$145.69	$289.05	$527.00
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 $249.92 / $353.44 / $703.71	Professional		$249.92	$353.44	$703.71