Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.27 / $2,871.34 / $6,178.80	Facility		$483.27	$2,871.34	$6,178.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.42 / $230.52 / $464.94	Facility	52	$97.42	$230.52	$464.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $293.81 / $707.89	Professional		$161.76	$293.81	$707.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $163.80 / $272.74	Professional		$112.86	$163.80	$272.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $1,351.53 / $3,142.79	Facility		$603.46	$1,351.53	$3,142.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $375.00 / $504.93	Professional		$153.13	$375.00	$504.93
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 $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $350.94 / $787.27	Professional		$198.53	$350.94	$787.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $321.00 / $659.58	Facility		$194.83	$321.00	$659.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $528.00 / $966.16	Professional		$240.00	$528.00	$966.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.19 / $446.57 / $682.54	Professional		$329.19	$446.57	$682.54
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 $206.47 / $368.86 / $771.43	Professional		$206.47	$368.86	$771.43