Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.62 / $1,218.00 / $3,109.00	Facility		$412.62	$1,218.00	$3,109.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $160.58 / $372.38 / $620.96	Facility	52	$160.58	$372.38	$620.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $64.23 / $104.75 / $172.14	Facility	53	$64.23	$104.75	$172.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.37 / $544.47 / $905.31	Professional		$286.37	$544.47	$905.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $471.38 / $471.38	Professional		$105.11	$471.38	$471.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.34 / $1,101.34 / $1,255.54	Facility		$1,101.34	$1,101.34	$1,255.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.88 / $401.29 / $920.05	Professional		$272.88	$401.29	$920.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $515.00 / $918.80	Facility		$490.00	$515.00	$918.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.75 / $557.15 / $1,204.07	Professional		$307.75	$557.15	$1,204.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $395.80 / $395.80 / $542.09	Professional		$395.80	$395.80	$542.09
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,539.00	Facility		$505.00	$1,106.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.01 / $802.05 / $1,359.10	Professional		$578.01	$802.05	$1,359.10