Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.47 / $3,776.00 / $9,062.00	Facility		$325.47	$3,776.00	$9,062.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.08 / $162.74 / $727.65	Facility	52	$69.08	$162.74	$727.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $183.34 / $697.26	Professional		$114.59	$183.34	$697.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $97.16 / $874.44	Professional		$97.16	$97.16	$874.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $1,975.39 / $3,635.04	Facility		$589.00	$1,975.39	$3,635.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $350.58 / $582.52	Professional		$112.27	$350.58	$582.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $425.00 / $834.39	Facility		$360.00	$425.00	$834.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $259.58 / $1,073.77	Professional		$150.85	$259.58	$1,073.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $229.00 / $859.79	Facility		$138.15	$229.00	$859.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $398.00 / $1,322.21	Professional		$140.00	$398.00	$1,322.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $383.93 / $518.31 / $787.27	Professional		$383.93	$518.31	$787.27
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $487.76 / $1,017.50	Professional		$171.80	$487.76	$1,017.50