Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $935.00 / $1,932.42	Facility		$138.16	$935.00	$1,932.42
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.88 / $100.63 / $273.63	Facility	52	$32.88	$100.63	$273.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.15 / $40.25 / $109.45	Facility	53	$13.15	$40.25	$109.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $170.68 / $547.26	Professional		$65.76	$170.68	$547.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $97.25 / $162.08	Professional		$51.86	$97.25	$162.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.77 / $501.77 / $501.77	Facility		$501.77	$501.77	$501.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $236.00 / $482.48	Professional		$236.00	$236.00	$482.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $500.00 / $858.50	Facility		$415.00	$500.00	$858.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $223.15 / $444.15	Professional		$82.16	$223.15	$444.15
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 $206.19 / $282.58 / $628.00	Professional		$206.19	$282.58	$628.00