Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.45 / $4,494.39 / $9,223.78	Facility		$661.45	$4,494.39	$9,223.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.19 / $353.04 / $566.78	Facility	52	$149.19	$353.04	$566.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.68 / $141.22 / $226.71	Facility	53	$59.68	$141.22	$226.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.87 / $466.68 / $1,110.31	Professional		$265.87	$466.68	$1,110.31
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $49.72 / $90.70 / $115.08	Professional	53	$49.72	$90.70	$115.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.35 / $333.06 / $356.35	Professional		$210.35	$333.06	$356.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.03 / $1,357.12 / $2,730.01	Facility		$576.03	$1,357.12	$2,730.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.23 / $621.00 / $1,025.00	Professional		$242.23	$621.00	$1,025.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $570.00 / $834.39	Facility		$426.66	$570.00	$834.39
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 $316.64 / $545.48 / $912.65	Professional		$316.64	$545.48	$912.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.39 / $613.44 / $906.61	Facility		$298.39	$613.44	$906.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $425.26 / $560.00 / $1,100.31	Professional		$425.26	$560.00	$1,100.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $387.78 / $525.80 / $805.98	Professional		$387.78	$525.80	$805.98
United Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $5,249.00 / $8,667.00	Facility		$614.00	$5,249.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.77 / $548.71 / $1,051.99	Professional		$392.77	$548.71	$1,051.99