Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.10 / $3,846.91 / $8,635.90	Facility		$877.10	$3,846.91	$8,635.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.15 / $191.60 / $454.52	Facility	52	$81.15	$191.60	$454.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.46 / $76.64 / $181.81	Facility	53	$32.46	$76.64	$181.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $274.13 / $872.97	Professional		$81.15	$274.13	$872.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $136.43 / $227.17	Professional		$73.09	$136.43	$227.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $1,385.29 / $2,948.26	Facility		$603.00	$1,385.29	$2,948.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $348.45 / $599.02	Professional		$133.26	$348.45	$599.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $569.33 / $663.59	Facility		$375.00	$569.33	$663.59
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 $179.78 / $365.05 / $716.87	Professional		$179.78	$365.05	$716.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.29 / $416.78 / $660.08	Facility		$162.29	$416.78	$660.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $528.00 / $930.63	Professional		$310.00	$528.00	$930.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.28 / $371.07 / $564.65	Professional		$274.28	$371.07	$564.65
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 $297.18 / $392.95 / $766.66	Professional		$297.18	$392.95	$766.66