Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.41 / $923.00 / $1,896.00	Facility		$398.41	$923.00	$1,896.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.21 / $199.21 / $442.06	Facility	52	$199.21	$199.21	$442.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.68 / $79.68 / $176.82	Facility	53	$79.68	$79.68	$176.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $398.41 / $884.12	Professional		$195.38	$398.41	$884.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $108.01 / $112.51	Professional		$108.01	$108.01	$112.51
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 $280.58 / $443.14 / $623.70	Professional		$280.58	$443.14	$623.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $443.54 / $926.37	Professional		$221.86	$443.54	$926.37
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,788.00 / $3,362.00	Facility		$625.00	$1,788.00	$3,362.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $434.52 / $707.52	Professional		$325.89	$434.52	$707.52