Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.31 / $1,237.59 / $7,182.00	Facility		$295.31	$1,237.59	$7,182.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.68 / $278.75 / $515.01	Facility	52	$117.68	$278.75	$515.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.07 / $111.50 / $206.00	Facility	53	$47.07	$111.50	$206.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $413.12 / $708.99	Professional		$195.51	$413.12	$708.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $131.97 / $170.73	Professional		$83.98	$131.97	$170.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $1,379.96 / $2,864.04	Facility		$585.87	$1,379.96	$2,864.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $408.00 / $602.17	Professional		$191.95	$408.00	$602.17
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 $257.47 / $444.15 / $842.17	Professional		$257.47	$444.15	$842.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.36 / $543.32 / $748.14	Facility		$235.36	$543.32	$748.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $534.00 / $1,049.67	Professional		$400.00	$534.00	$1,049.67
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 $614.00 / $4,799.00 / $8,667.00	Facility		$614.00	$4,799.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $498.99 / $995.30	Professional		$359.44	$498.99	$995.30