Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.53 / $2,095.00 / $7,838.38	Facility		$87.53	$2,095.00	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.76 / $29.76 / $103.01	Facility	52	$29.76	$29.76	$103.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.90 / $11.90 / $41.20	Facility	53	$11.90	$11.90	$41.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $134.00 / $286.50	Professional		$55.31	$134.00	$286.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $79.98 / $79.98	Professional		$79.98	$79.98	$79.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.88 / $2,076.84 / $45,000.00	Facility		$583.88	$2,076.84	$45,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $117.88 / $231.47	Professional		$67.56	$117.88	$231.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $95.68 / $176.27	Facility		$95.68	$95.68	$176.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $147.49 / $306.33	Professional		$71.37	$147.49	$306.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.93 / $272.54	Professional		$32.34	$50.93	$272.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $137.68 / $202.63	Facility		$56.07	$137.68	$202.63
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $159.06 / $400.98	Professional		$74.50	$159.06	$400.98
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,516.00 / $2,655.00	Facility		$525.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $224.11 / $350.47	Professional		$163.09	$224.11	$350.47