Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.58 / $1,460.96 / $4,230.00	Facility		$485.58	$1,460.96	$4,230.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.02 / $242.79 / $730.48	Facility	52	$103.02	$242.79	$730.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $294.98 / $901.74	Professional		$169.05	$294.98	$901.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $247.80 / $291.52	Professional		$150.59	$247.80	$291.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $1,349.02 / $3,282.36	Facility		$603.00	$1,349.02	$3,282.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $473.69 / $717.08	Professional		$162.77	$473.69	$717.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $585.00 / $1,139.16	Facility		$375.00	$585.00	$1,139.16
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.35 / $388.81 / $1,175.33	Professional		$199.35	$388.81	$1,175.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.04 / $333.96 / $991.36	Facility		$206.04	$333.96	$991.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $534.00 / $1,475.54	Professional		$242.00	$534.00	$1,475.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.25 / $629.98 / $956.60	Professional		$466.25	$629.98	$956.60
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 $205.57 / $545.35 / $1,162.26	Professional		$205.57	$545.35	$1,162.26