Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.57 / $950.00 / $1,831.00	Facility		$205.57	$950.00	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.39 / $53.26 / $215.96	Facility	52	$17.39	$53.26	$215.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $205.30 / $431.91	Professional		$34.79	$205.30	$431.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $46.48 / $81.38	Professional		$42.56	$46.48	$81.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.87 / $566.87 / $621.88	Facility		$566.87	$566.87	$621.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $148.36	Professional		$131.00	$131.00	$148.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $125.56 / $588.00	Facility		$117.66	$125.56	$588.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $200.00 / $427.07	Professional		$42.96	$200.00	$427.07
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 $216.00 / $537.00 / $1,893.00	Facility		$216.00	$537.00	$1,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $266.52 / $558.29	Professional		$197.86	$266.52	$558.29