Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.66 / $3,046.08 / $5,000.27	Facility		$592.66	$3,046.08	$5,000.27
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.58 / $73.58 / $211.54	Facility	52	$73.58	$73.58	$211.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.43 / $29.43 / $84.62	Facility	53	$29.43	$29.43	$84.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $304.72 / $695.02	Professional		$138.07	$304.72	$695.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $129.47 / $385.41	Professional		$117.25	$129.47	$385.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.50 / $2,952.41 / $4,751.77	Facility		$780.50	$2,952.41	$4,751.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.35 / $314.55 / $499.86	Professional		$165.35	$314.55	$499.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $596.36	Facility		$232.12	$232.12	$596.36
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $326.23 / $635.03	Professional		$171.51	$326.23	$635.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.55 / $544.16	Professional		$32.34	$103.55	$544.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $333.84 / $501.36	Facility		$143.01	$333.84	$501.36
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.89 / $388.51 / $817.80	Professional		$197.89	$388.51	$817.80
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 $385.28 / $520.87 / $788.51	Professional		$385.28	$520.87	$788.51