Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $982.22 / $1,831.00	Facility		$107.60	$982.22	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.61 / $78.37 / $175.93	Facility	52	$25.61	$78.37	$175.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.24 / $31.35 / $70.37	Facility	53	$10.24	$31.35	$70.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $126.53 / $351.85	Professional		$54.03	$126.53	$351.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $69.33 / $126.98	Professional		$36.82	$69.33	$126.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.07 / $189.07 / $189.07	Facility		$189.07	$189.07	$189.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $193.00 / $193.00	Professional		$181.80	$193.00	$193.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $153.93 / $858.50	Facility		$133.94	$153.93	$858.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $156.88 / $303.99	Professional		$65.48	$156.88	$303.99
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 $446.00 / $823.00 / $2,011.00	Facility		$446.00	$823.00	$2,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.78 / $188.72 / $426.71	Professional		$143.78	$188.72	$426.71