Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.00 / $6,609.60 / $10,327.50	Facility		$1,831.00	$6,609.60	$10,327.50
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,891.10 / $5,891.10 / $5,891.10	Facility	22	$5,891.10	$5,891.10	$5,891.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $305.70 / $305.70 / $935.63	Facility	52	$305.70	$305.70	$935.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $122.28 / $122.28 / $374.25	Facility	53	$122.28	$122.28	$374.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.42 / $713.01 / $1,626.30	Professional		$610.42	$713.01	$1,626.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.22 / $731.99 / $1,489.60	Professional		$542.22	$731.99	$1,489.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,852.29 / $2,852.29 / $2,852.29	Facility		$2,852.29	$2,852.29	$2,852.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.00 / $1,393.00 / $2,742.59	Professional		$1,393.00	$1,393.00	$2,742.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,747.90 / $10,477.79	Facility		$1,121.00	$2,747.90	$10,477.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.54 / $1,016.20 / $1,538.62	Professional		$625.54	$1,016.20	$1,538.62
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 $1,185.00 / $4,797.00 / $11,325.00	Facility		$1,185.00	$4,797.00	$11,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.39 / $824.21 / $1,707.86	Professional		$587.39	$824.21	$1,707.86