Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.22 / $1,421.58 / $7,838.38	Facility		$316.22	$1,421.58	$7,838.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.67 / $106.67 / $246.82	Facility	52	$106.67	$106.67	$246.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.67 / $42.67 / $98.73	Facility	53	$42.67	$42.67	$98.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.09 / $404.66 / $638.62	Professional		$201.09	$404.66	$638.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $108.30 / $122.02	Professional		$85.42	$108.30	$122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.20 / $3,073.55 / $4,946.74	Facility		$791.20	$3,073.55	$4,946.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $399.55 / $583.50	Professional		$238.86	$399.55	$583.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $338.16 / $749.86	Facility		$338.16	$338.16	$749.86
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 $247.64 / $438.48 / $787.34	Professional		$247.64	$438.48	$787.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $122.63 / $649.52	Professional		$32.34	$122.63	$649.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.11 / $454.15 / $664.61	Facility		$208.11	$454.15	$664.61
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $511.56 / $959.67	Professional		$284.76	$511.56	$959.67
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $656.71 / $878.92	Professional		$457.52	$656.71	$878.92