Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.54 / $2,390.08 / $7,573.01	Facility		$491.54	$2,390.08	$7,573.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.75 / $245.77 / $464.56	Facility	52	$103.75	$245.77	$464.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.50 / $98.31 / $185.82	Facility	53	$41.50	$98.31	$185.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $314.06 / $772.92	Professional		$172.63	$314.06	$772.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $247.80 / $299.63	Professional		$174.11	$247.80	$299.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $1,359.99 / $3,120.84	Facility		$603.00	$1,359.99	$3,120.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $402.52 / $584.48	Professional		$162.77	$402.52	$584.48
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 $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $361.35 / $750.89	Professional		$211.12	$361.35	$750.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.49 / $336.40 / $664.68	Facility		$207.49	$336.40	$664.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $528.00 / $922.61	Professional		$250.00	$528.00	$922.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $409.89 / $626.42	Professional		$301.77	$409.89	$626.42
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 $231.12 / $364.67 / $988.70	Professional		$231.12	$364.67	$988.70