Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.13 / $4,150.66 / $10,999.48	Facility		$720.13	$4,150.66	$10,999.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $152.05 / $360.07 / $955.31	Facility	52	$152.05	$360.07	$955.31
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.82 / $144.03 / $382.12	Facility	53	$60.82	$144.03	$382.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.37 / $588.64 / $1,065.20	Professional		$286.37	$588.64	$1,065.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $255.10	Professional		$255.10	$255.10	$255.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $1,441.92 / $3,313.21	Facility		$603.46	$1,441.92	$3,313.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.79 / $606.00 / $958.89	Professional		$246.79	$606.00	$958.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $570.00 / $834.39	Facility		$434.63	$570.00	$834.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.64 / $628.00 / $1,305.47	Professional		$328.64	$628.00	$1,305.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $304.08 / $747.00 / $1,184.50	Facility		$304.08	$747.00	$1,184.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $425.26 / $534.00 / $1,750.26	Professional		$425.26	$534.00	$1,750.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $552.25 / $747.16 / $1,146.00	Professional		$552.25	$747.16	$1,146.00
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.33 / $772.72 / $1,465.15	Professional		$556.33	$772.72	$1,465.15