Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $2,884.03	Facility		$616.60	$1,230.27	$2,884.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $154.88 / $158.49	Facility	53	$85.11	$154.88	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $660.69	Professional		$177.83	$331.13	$660.69
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $144.54 / $269.15	Professional	53	$83.18	$144.54	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $245.47	Professional		$147.91	$194.98	$245.47
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $51.29 / $93.33 / $186.21	Professional	53	$51.29	$93.33	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Facility		$524.81	$524.81	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $1,380.38	Facility		$436.52	$549.54	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $630.96	Professional		$199.53	$346.74	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,380.38 / $2,951.21	Facility		$616.60	$1,380.38	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $676.08	Professional		$173.78	$316.23	$676.08