Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.62 / $884.00 / $2,250.00	Facility		$211.62	$884.00	$2,250.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.82 / $105.82 / $290.70	Facility	52	$105.82	$105.82	$290.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.33 / $42.33 / $116.28	Facility	53	$42.33	$42.33	$116.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $249.87 / $581.41	Professional		$96.99	$249.87	$581.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $123.66 / $183.99	Professional		$99.88	$123.66	$183.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.94 / $1,194.06 / $1,606.40	Facility		$983.94	$1,194.06	$1,606.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $265.52 / $429.19	Professional		$124.73	$265.52	$429.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $257.50 / $562.96	Professional		$113.75	$257.50	$562.96
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 $225.52 / $321.45 / $510.37	Professional		$225.52	$321.45	$510.37