Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.76 / $932.76 / $4,751.00	Facility		$478.76	$932.76	$4,751.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $21.86 / $21.86 / $131.75	Facility	52	$21.86	$21.86	$131.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $135.90 / $431.00	Professional		$35.26	$135.90	$431.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $38.19 / $350.25	Professional		$18.66	$38.19	$350.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.97 / $671.77 / $1,370.00	Facility		$359.97	$671.77	$1,370.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $73.20 / $270.02	Professional		$36.11	$73.20	$270.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.82 / $172.29 / $570.00	Facility		$147.82	$172.29	$570.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $211.71 / $435.06	Professional		$46.98	$211.71	$435.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $263.49 / $395.23	Facility		$42.01	$263.49	$395.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $199.95 / $569.53	Professional		$126.74	$199.95	$569.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $258.90 / $393.63	Professional		$191.96	$258.90	$393.63
United Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $1,134.00 / $2,357.00	Facility		$198.00	$1,134.00	$2,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $267.70 / $526.09	Professional		$188.84	$267.70	$526.09