Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.24 / $4,163.22 / $7,368.29	Facility		$743.24	$4,163.22	$7,368.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.84 / $278.75 / $537.99	Facility	52	$117.84	$278.75	$537.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.14 / $111.50 / $215.20	Facility	53	$47.14	$111.50	$215.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $429.79 / $1,075.98	Professional		$196.13	$429.79	$1,075.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.76 / $217.23 / $278.75	Professional	52	$97.76	$217.23	$278.75
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.10 / $82.15 / $106.84	Professional	53	$39.10	$82.15	$106.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $272.81 / $370.97	Professional		$184.57	$272.81	$370.97
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $44.20 / $50.76 / $70.59	Professional	52	$44.20	$50.76	$70.59
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $212.18 / $300.00 / $300.00	Professional	53	$212.18	$300.00	$300.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,360.13 / $2,730.01	Facility		$600.00	$1,360.13	$2,730.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $457.00 / $848.39	Professional		$191.95	$457.00	$848.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $570.00 / $834.39	Facility		$375.00	$570.00	$834.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.16 / $464.94 / $860.28	Professional		$262.16	$464.94	$860.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.32 / $559.33 / $816.86	Facility		$240.32	$559.33	$816.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $425.26 / $534.00 / $1,057.65	Professional		$425.26	$534.00	$1,057.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.68 / $485.39 / $740.50	Professional		$356.68	$485.39	$740.50
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.43 / $494.54 / $1,002.60	Professional		$369.43	$494.54	$1,002.60