Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.33 / $2,012.97 / $2,571.84	Facility		$445.33	$2,012.97	$2,571.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.11 / $38.11 / $160.82	Facility	52	$38.11	$38.11	$160.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.25 / $15.25 / $64.33	Facility	53	$15.25	$15.25	$64.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $170.68 / $407.81	Professional		$70.11	$170.68	$407.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $61.75 / $259.04	Professional		$61.75	$61.75	$259.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.75 / $1,962.91 / $3,137.36	Facility		$582.75	$1,962.91	$3,137.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $152.94 / $356.55	Professional		$86.20	$152.94	$356.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $121.96 / $579.87	Facility		$121.96	$121.96	$579.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $176.67 / $458.10	Professional		$87.08	$176.67	$458.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $77.94 / $410.39	Professional		$32.34	$77.94	$410.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $177.00 / $309.95	Facility		$67.86	$177.00	$309.95
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $198.25 / $622.04	Professional		$90.53	$198.25	$622.04
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 $207.26 / $324.97 / $551.03	Professional		$207.26	$324.97	$551.03