Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.11 / $1,759.74 / $9,062.00	Facility		$235.11	$1,759.74	$9,062.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.56 / $279.12 / $879.87	Facility	52	$117.56	$279.12	$879.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $338.48 / $1,012.72	Professional		$195.87	$338.48	$1,012.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $202.22 / $345.57	Professional		$183.84	$202.22	$345.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $1,367.35 / $3,447.14	Facility		$603.00	$1,367.35	$3,447.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.76 / $544.73 / $786.99	Professional		$184.76	$544.73	$786.99
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 $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.71 / $443.67 / $1,323.56	Professional		$247.71	$443.67	$1,323.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.11 / $408.00 / $1,048.84	Facility		$235.11	$408.00	$1,048.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $534.00 / $1,638.05	Professional		$350.00	$534.00	$1,638.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $493.74 / $668.79 / $1,019.68	Professional		$493.74	$668.79	$1,019.68
United Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $4,818.00 / $8,667.00	Facility		$614.00	$4,818.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $607.05 / $1,296.13	Professional		$325.33	$607.05	$1,296.13