Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.01 / $993.00 / $1,831.00	Facility		$241.01	$993.00	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $120.51 / $308.01 / $647.14	Facility	52	$120.51	$308.01	$647.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.20 / $123.20 / $258.85	Facility	53	$48.20	$123.20	$258.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $607.60 / $1,294.27	Professional		$278.58	$607.60	$1,294.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $553.57 / $553.57 / $553.57	Professional		$553.57	$553.57	$553.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.63 / $692.63 / $761.90	Facility		$692.63	$692.63	$761.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.28 / $1,069.00 / $1,069.00	Professional		$634.28	$1,069.00	$1,069.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $654.80 / $1,373.51	Facility		$510.00	$654.80	$1,373.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.30 / $636.52 / $1,279.00	Professional		$299.30	$636.52	$1,279.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $816.44 / $1,731.33	Professional		$581.52	$816.44	$1,731.33