Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.92 / $2,450.71 / $5,997.16	Facility		$339.92	$2,450.71	$5,997.16
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.89 / $169.96 / $340.02	Facility	52	$71.89	$169.96	$340.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.75 / $67.98 / $136.01	Facility	53	$28.75	$67.98	$136.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $253.47 / $595.14	Professional		$117.00	$253.47	$595.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $112.84 / $201.98	Professional		$60.65	$112.84	$201.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.48 / $1,314.54 / $3,069.28	Facility		$519.48	$1,314.54	$3,069.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $284.00 / $511.54	Professional		$117.35	$284.00	$511.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $425.00 / $663.59	Facility		$350.00	$425.00	$663.59
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 $153.02 / $307.14 / $548.72	Professional		$153.02	$307.14	$548.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.77 / $358.61 / $525.52	Facility		$143.77	$358.61	$525.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $394.00 / $697.93	Professional		$280.00	$394.00	$697.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $297.71 / $455.02	Professional		$219.46	$297.71	$455.02
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 $232.08 / $318.68 / $628.25	Professional		$232.08	$318.68	$628.25