Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.90 / $3,264.88 / $6,690.03	Facility		$1,208.90	$3,264.88	$6,690.03
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.12 / $212.35 / $1,339.86	Facility	52	$90.12	$212.35	$1,339.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.04 / $84.94 / $535.94	Facility	53	$36.04	$84.94	$535.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $235.73 / $1,511.59	Professional		$146.97	$235.73	$1,511.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $176.04 / $252.09	Professional		$127.22	$176.04	$252.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $1,357.93 / $3,246.97	Facility		$603.46	$1,357.93	$3,246.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.46 / $415.20 / $1,165.35	Professional		$146.46	$415.20	$1,165.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $570.00 / $1,139.16	Facility		$375.00	$570.00	$1,139.16
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $336.79 / $2,162.25	Professional		$183.55	$336.79	$2,162.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.23 / $288.19 / $1,818.38	Facility		$180.23	$288.19	$1,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $534.00 / $2,738.77	Professional		$222.00	$534.00	$2,738.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $850.02 / $1,143.51 / $1,745.46	Professional		$850.02	$1,143.51	$1,745.46
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 $200.48 / $1,012.31 / $2,251.42	Professional		$200.48	$1,012.31	$2,251.42