Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $575.00 / $2,555.30	Facility		$110.25	$575.00	$2,555.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.13 / $55.13 / $182.07	Facility	52	$55.13	$55.13	$182.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.05 / $22.05 / $72.83	Facility	53	$22.05	$22.05	$72.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $122.21 / $364.13	Professional		$54.03	$122.21	$364.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $52.91 / $68.73	Professional		$30.47	$52.91	$68.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.50 / $1,568.51 / $2,110.16	Facility		$1,292.50	$1,568.51	$2,110.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $148.66 / $209.74	Professional		$75.59	$148.66	$209.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $145.25 / $340.08	Professional		$60.36	$145.25	$340.08
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,141.00 / $2,473.00	Facility		$375.00	$1,141.00	$2,473.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $162.41 / $265.83	Professional		$120.70	$162.41	$265.83