Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.02 / $976.00 / $3,124.60	Facility		$389.02	$976.00	$3,124.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.05 / $217.46 / $1,046.88	Facility	52	$71.05	$217.46	$1,046.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.42 / $86.98 / $418.75	Facility	53	$28.42	$86.98	$418.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $234.23 / $2,093.76	Professional		$142.10	$234.23	$2,093.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $199.01 / $328.03	Professional		$142.78	$199.01	$328.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $905.08 / $905.08 / $995.59	Facility		$905.08	$905.08	$995.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $389.00 / $828.83	Professional		$389.00	$389.00	$828.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $700.00 / $1,851.73	Facility		$494.00	$700.00	$1,851.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $362.36 / $1,711.71	Professional		$180.55	$362.36	$1,711.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.24 / $1,042.14 / $2,636.63	Professional		$232.24	$1,042.14	$2,636.63