Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.94 / $966.21 / $1,862.48	Facility		$410.94	$966.21	$1,862.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.96 / $200.27 / $420.77	Facility	52	$92.96	$200.27	$420.77
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.18 / $80.11 / $168.31	Facility	53	$37.18	$80.11	$168.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $415.13 / $843.00	Professional		$195.37	$415.13	$843.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $92.96 / $205.48 / $612.94	Professional	52	$92.96	$205.48	$612.94
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.18 / $82.19 / $245.18	Professional	53	$37.18	$82.19	$245.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.77 / $261.02 / $450.05	Professional		$204.77	$261.02	$450.05
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $33.75 / $57.34 / $112.51	Professional	52	$33.75	$57.34	$112.51
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 $692.63 / $692.63 / $761.90	Facility		$692.63	$692.63	$761.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.28 / $714.00 / $714.00	Professional		$634.28	$714.00	$714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $654.80 / $1,373.51	Facility		$507.00	$654.80	$1,373.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $459.71 / $811.00	Professional		$234.67	$459.71	$811.00
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 $380.86 / $565.38 / $1,074.70	Professional		$380.86	$565.38	$1,074.70