Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.84 / $2,151.44 / $9,863.00	Facility		$623.84	$2,151.44	$9,863.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $131.62 / $311.92 / $883.72	Facility	52	$131.62	$311.92	$883.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $598.37 / $1,098.88	Professional		$218.72	$598.37	$1,098.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $221.58 / $371.02	Professional		$191.31	$221.58	$371.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.00 / $1,737.00 / $3,536.27	Facility		$804.00	$1,737.00	$3,536.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $607.23 / $879.80	Professional		$214.36	$607.23	$879.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $1,512.34	Facility		$375.00	$615.00	$1,512.34
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $627.74 / $1,416.56	Professional		$277.64	$627.74	$1,416.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $261.27 / $852.72 / $1,276.11	Facility		$261.27	$852.72	$1,276.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $607.75 / $949.33 / $1,782.89	Professional		$607.75	$949.33	$1,782.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $606.99 / $818.07 / $1,256.55	Professional		$606.99	$818.07	$1,256.55
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 $608.53 / $844.58 / $1,671.97	Professional		$608.53	$844.58	$1,671.97