Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.74 / $2,344.55 / $6,024.00	Facility		$197.74	$2,344.55	$6,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.20 / $98.87 / $340.63	Facility	52	$42.20	$98.87	$340.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.88 / $39.54 / $136.25	Facility	53	$16.88	$39.54	$136.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $157.77 / $506.61	Professional		$69.51	$157.77	$506.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $101.33 / $119.57	Professional		$48.43	$101.33	$119.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.16 / $1,028.84 / $2,066.42	Facility		$455.16	$1,028.84	$2,066.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $180.26 / $302.14	Professional		$69.47	$180.26	$302.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $425.00 / $645.24	Facility		$360.00	$425.00	$645.24
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 $79.43 / $184.49 / $542.12	Professional		$79.43	$184.49	$542.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $204.67 / $455.52	Facility		$83.53	$204.67	$455.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $394.00 / $688.29	Professional		$135.00	$394.00	$688.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $296.15 / $450.09	Professional		$219.37	$296.15	$450.09
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $3,682.00 / $6,584.00	Facility		$438.00	$3,682.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $269.26 / $541.25	Professional		$176.15	$269.26	$541.25