Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.82 / $2,993.26 / $5,000.27	Facility		$653.82	$2,993.26	$5,000.27
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $135.52 / $135.52 / $251.49	Facility	52	$135.52	$135.52	$251.49
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.21 / $54.21 / $100.60	Facility	53	$54.21	$54.21	$100.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.89 / $452.68 / $757.63	Professional		$254.89	$452.68	$757.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $49.56 / $87.36 / $131.49	Professional	53	$49.56	$87.36	$131.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.62 / $276.85 / $307.67	Professional		$244.62	$276.85	$307.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.20 / $3,073.55 / $4,946.74	Facility		$791.20	$3,073.55	$4,946.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.33 / $450.56 / $617.49	Professional		$270.33	$450.56	$617.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $426.66 / $749.86	Facility		$426.66	$426.66	$749.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.76 / $517.87 / $853.53	Professional		$309.76	$517.87	$853.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.88 / $674.35	Professional		$32.34	$126.88	$674.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.51 / $475.77 / $749.86	Facility		$264.51	$475.77	$749.86
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.63 / $582.25 / $987.98	Professional		$334.63	$582.25	$987.98
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.39 / $706.35 / $941.40	Professional		$486.39	$706.35	$941.40