Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.73 / $5,192.00 / $9,541.92	Facility		$486.73	$5,192.00	$9,541.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $195.22 / $462.84 / $462.84	Facility	52	$195.22	$462.84	$462.84
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $78.09 / $185.14 / $185.14	Facility	53	$78.09	$185.14	$185.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.39 / $472.50 / $761.71	Professional		$324.39	$472.50	$761.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $327.02 / $327.02	Professional		$327.02	$327.02	$327.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.24 / $1,701.24 / $3,551.96	Facility		$648.24	$1,701.24	$3,551.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $420.00 / $738.49	Professional		$304.20	$420.00	$738.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $1,842.86	Facility		$375.00	$615.00	$1,842.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $506.61 / $937.05	Professional		$314.61	$506.61	$937.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.87 / $471.23 / $663.75	Facility		$331.87	$471.23	$663.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $471.23 / $1,573.76	Professional		$350.00	$471.23	$1,573.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $379.19 / $583.51	Professional		$282.83	$379.19	$583.51
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $398.02 / $791.30	Professional		$294.19	$398.02	$791.30