Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.47 / $950.27 / $2,626.50	Facility		$448.47	$950.27	$2,626.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.24 / $210.27 / $441.77	Facility	52	$118.24	$210.27	$441.77
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.30 / $84.11 / $176.71	Facility	53	$47.30	$84.11	$176.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $455.43 / $883.54	Professional		$236.48	$455.43	$883.54
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $47.30 / $98.25 / $257.41	Professional	53	$47.30	$98.25	$257.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.87 / $233.43 / $568.33	Professional		$206.87	$233.43	$568.33
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 / $808.00 / $808.00	Professional		$634.28	$808.00	$808.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.00 / $654.80 / $1,373.51	Facility		$514.00	$654.80	$1,373.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.04 / $514.65 / $896.81	Professional		$294.04	$514.65	$896.81
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 $610.00 / $1,369.00 / $4,939.00	Facility		$610.00	$1,369.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.82 / $611.20 / $1,131.72	Professional		$397.82	$611.20	$1,131.72