Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.14 / $1,318.64 / $2,062.89	Facility		$208.14	$1,318.64	$2,062.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.07 / $318.51 / $708.06	Facility	52	$104.07	$318.51	$708.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $662.39 / $1,462.90	Professional		$216.81	$662.39	$1,462.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $251.39 / $291.61	Professional		$132.68	$251.39	$291.61
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 $828.83 / $1,178.00 / $1,178.00	Professional		$828.83	$1,178.00	$1,178.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $1,038.36 / $1,186.83	Facility		$826.00	$1,038.36	$1,186.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $547.67 / $1,296.60	Professional		$259.20	$547.67	$1,296.60
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 / $4,939.00	Facility		$575.00	$1,305.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.26 / $881.30 / $1,783.06	Professional		$624.26	$881.30	$1,783.06