Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.24 / $1,223.00 / $2,600.00	Facility		$661.24	$1,223.00	$2,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $330.62 / $330.62 / $330.62	Facility	52	$330.62	$330.62	$330.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $132.25 / $132.25 / $132.25	Facility	53	$132.25	$132.25	$132.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.24 / $472.50 / $661.24	Professional		$302.24	$472.50	$661.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $356.48 / $356.48	Professional		$310.05	$356.48	$356.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,724.76 / $3,306.63 / $4,448.47	Facility		$2,724.76	$3,306.63	$4,448.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $360.51 / $551.84	Professional		$239.25	$360.51	$551.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $515.17 / $1,349.54	Professional		$260.00	$515.17	$1,349.54
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,738.00 / $3,360.00	Facility		$625.00	$1,738.00	$3,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $357.14 / $580.10	Professional		$259.58	$357.14	$580.10