Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.25 / $989.00 / $2,927.00	Facility		$247.25	$989.00	$2,927.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.57 / $139.01 / $203.93	Facility	52	$109.57	$139.01	$203.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $43.83 / $55.61 / $81.56	Facility	53	$43.83	$55.61	$81.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $270.00 / $550.52	Professional		$179.50	$270.00	$550.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $278.54 / $321.16	Professional		$139.27	$278.54	$321.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.58 / $839.58 / $957.12	Facility		$839.58	$839.58	$957.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $273.97 / $532.64	Professional		$186.30	$273.97	$532.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.20 / $494.00 / $584.00	Facility		$471.20	$494.00	$584.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $329.70 / $637.08	Professional		$211.80	$329.70	$637.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $320.32 / $369.33	Professional		$160.16	$320.32	$369.33
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,539.00	Facility		$505.00	$1,106.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.52 / $381.47 / $728.07	Professional		$200.52	$381.47	$728.07