Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $912.01 / $2,454.71	Facility		$426.58	$912.01	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $776.25	Professional		$239.88	$426.58	$776.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $114.82 / $114.82 / $123.03	Professional	53	$114.82	$114.82	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $371.54	Professional		$194.98	$245.47	$371.54
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $229.09 / $257.04 / $549.54	Professional	53	$229.09	$257.04	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $758.58	Facility		$691.83	$691.83	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $575.44 / $1,380.38	Facility		$512.86	$575.44	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $851.14	Professional		$263.03	$478.63	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,479.11 / $3,090.30	Facility		$616.60	$1,479.11	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $933.25	Professional		$239.88	$416.87	$933.25