Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.01 / $1,406.40 / $3,664.00	Facility		$367.01	$1,406.40	$3,664.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $183.51 / $183.51 / $338.49	Facility	52	$183.51	$183.51	$338.49
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $121.89 / $247.73 / $456.94	Facility	53	$121.89	$247.73	$456.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $359.26 / $676.97	Professional		$180.17	$359.26	$676.97
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.46 / $122.34 / $338.48	Professional	53	$44.46	$122.34	$338.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $198.55 / $245.64	Professional		$149.02	$198.55	$245.64
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $49.79 / $86.44 / $108.80	Professional	53	$49.79	$86.44	$108.80
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 $214.96 / $347.47 / $492.76	Professional		$214.96	$347.47	$492.76
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $64.34 / $108.26 / $127.75	Professional	53	$64.34	$108.26	$127.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $372.81 / $751.02	Professional		$203.78	$372.81	$751.02
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $215.03 / $320.00 / $320.00	Professional	53	$215.03	$320.00	$320.00
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,754.00 / $3,200.00	Facility		$500.00	$1,754.00	$3,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.17 / $356.96 / $607.27	Professional		$248.17	$356.96	$607.27
United Facility/Professional Professional Modifier 53 Low / Median / High Price $100.92 / $100.92 / $100.92	Professional	53	$100.92	$100.92	$100.92