Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,230.27 / $2,818.38	Facility		$363.08	$1,230.27	$2,818.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $123.03 / $181.97 / $338.84	Facility	53	$123.03	$181.97	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $831.76	Professional		$177.83	$363.08	$831.76
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $158.49 / $309.03	Professional	53	$83.18	$158.49	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $269.15	Professional		$151.36	$186.21	$269.15
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $42.66 / $91.20 / $131.83	Professional	53	$42.66	$91.20	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,137.96	Facility		$1,348.96	$1,584.89	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $512.86	Professional		$213.80	$407.38	$512.86
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $56.23 / $107.15 / $128.82	Professional	53	$56.23	$107.15	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $707.95	Professional		$204.17	$363.08	$707.95
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $213.80 / $213.80 / $323.59	Professional	53	$213.80	$213.80	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,659.59 / $3,090.30	Facility		$630.96	$1,659.59	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $512.86	Professional		$154.88	$288.40	$512.86
United Facility/Professional Professional Modifier 53 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	53	$100.00	$100.00	$100.00