Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.25 / $911.25 / $3,687.29	Facility		$452.25	$911.25	$3,687.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.95 / $173.43 / $364.37	Facility	52	$63.95	$173.43	$364.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.58 / $69.37 / $145.75	Facility	53	$25.58	$69.37	$145.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $304.72 / $728.73	Professional		$127.89	$304.72	$728.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $166.92 / $358.21	Professional		$89.65	$166.92	$358.21
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 $450.00 / $450.00 / $496.40	Professional		$450.00	$450.00	$496.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $550.00 / $1,296.55	Facility		$453.16	$550.00	$1,296.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $350.84 / $626.40	Professional		$163.89	$350.84	$626.40
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 $303.68 / $429.62 / $878.22	Professional		$303.68	$429.62	$878.22