Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $1,813.22 / $9,308.31	Facility		$135.66	$1,813.22	$9,308.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.90 / $76.93 / $222.64	Facility	52	$32.90	$76.93	$222.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.16 / $43.23 / $798.13	Facility	53	$13.16	$43.23	$798.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $126.53 / $333.27	Professional		$54.35	$126.53	$333.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $56.39 / $93.90	Professional		$37.51	$56.39	$93.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.49 / $1,115.51 / $2,164.31	Facility		$509.49	$1,115.51	$2,164.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $137.91 / $214.07	Professional		$54.56	$137.91	$214.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.28 / $196.14 / $560.00	Facility		$168.28	$196.14	$560.00
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 $65.62 / $144.21 / $352.11	Professional		$65.62	$144.21	$352.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $161.00 / $296.82	Facility		$65.81	$161.00	$296.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $161.00 / $437.87	Professional		$100.00	$161.00	$437.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $222.22 / $337.18	Professional		$164.55	$222.22	$337.18
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $2,936.00 / $6,344.00	Facility		$454.00	$2,936.00	$6,344.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $179.73 / $344.47	Professional		$130.11	$179.73	$344.47