Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.41 / $1,247.72 / $3,664.00	Facility		$398.41	$1,247.72	$3,664.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.21 / $199.21 / $433.56	Facility	52	$199.21	$199.21	$433.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.68 / $79.68 / $173.42	Facility	53	$79.68	$79.68	$173.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.69 / $398.41 / $867.11	Professional		$195.69	$398.41	$867.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.85 / $199.21 / $433.56	Professional	52	$97.85	$199.21	$433.56
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.14 / $79.68 / $173.42	Professional	53	$39.14	$79.68	$173.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.15 / $187.06 / $370.97	Professional		$178.15	$187.06	$370.97
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $44.54 / $44.54 / $44.54	Professional	52	$44.54	$44.54	$44.54
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $163.82 / $163.82 / $163.82	Professional	53	$163.82	$163.82	$163.82
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 $320.68 / $526.74 / $621.54	Professional		$320.68	$526.74	$621.54
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $69.84 / $129.26 / $155.38	Professional	53	$69.84	$129.26	$155.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $457.55 / $923.10	Professional		$234.18	$457.55	$923.10
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 $328.33 / $441.74 / $761.55	Professional		$328.33	$441.74	$761.55