Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.08 / $1,922.04 / $3,125.97	Facility		$465.08	$1,922.04	$3,125.97
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.28 / $65.28 / $165.26	Facility	52	$65.28	$65.28	$165.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.11 / $26.11 / $66.09	Facility	53	$26.11	$26.11	$66.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $271.58 / $496.20	Professional		$123.09	$271.58	$496.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $115.19 / $171.96	Professional		$104.32	$115.19	$171.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.24 / $2,952.41 / $4,751.77	Facility		$629.24	$2,952.41	$4,751.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $265.12 / $378.46	Professional		$146.24	$265.12	$378.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $206.39 / $596.36	Facility		$206.39	$206.39	$596.36
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $276.52 / $505.61	Professional		$151.82	$276.52	$505.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $79.53 / $422.74	Professional		$32.34	$79.53	$422.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $290.36 / $435.64	Facility		$127.35	$290.36	$435.64
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $331.00 / $625.67	Professional		$167.82	$331.00	$625.67
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $441.19 / $723.64	Professional		$288.00	$441.19	$723.64