Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.15 / $1,250.00 / $2,948.00	Facility		$621.15	$1,250.00	$2,948.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.54 / $156.50 / $328.82	Facility	52	$85.54	$156.50	$328.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.60 / $156.50 / $328.81	Facility	53	$62.60	$156.50	$328.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $341.34 / $663.22	Professional		$171.14	$341.34	$663.22
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $54.03 / $114.10 / $261.80	Professional	53	$54.03	$114.10	$261.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $210.80 / $413.65	Professional		$150.57	$210.80	$413.65
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $50.98 / $77.68 / $198.35	Professional	53	$50.98	$77.68	$198.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.86 / $526.86 / $579.54	Facility		$526.86	$526.86	$579.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $650.00 / $650.00	Professional		$482.48	$650.00	$650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.63 / $550.00 / $1,373.51	Facility		$440.63	$550.00	$1,373.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $372.81 / $663.22	Professional		$216.06	$372.81	$663.22
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $116.81 / $116.81 / $116.81	Professional	53	$116.81	$116.81	$116.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.97 / $431.87 / $838.65	Professional		$271.97	$431.87	$838.65