Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $927.00 / $2,048.48	Facility		$141.00	$927.00	$2,048.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.50 / $70.50 / $283.12	Facility	52	$70.50	$70.50	$283.12
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.20 / $28.20 / $113.25	Facility	53	$28.20	$28.20	$113.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $152.38 / $566.23	Professional		$65.76	$152.38	$566.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $68.30 / $87.63	Professional		$51.86	$68.30	$87.63
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 $96.56 / $201.97 / $329.99	Professional		$96.56	$201.97	$329.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $183.46 / $502.09	Professional		$74.52	$183.46	$502.09
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 $183.68 / $254.93 / $395.61	Professional		$183.68	$254.93	$395.61