Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.47 / $1,250.00 / $1,831.00	Facility		$268.47	$1,250.00	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.57 / $134.24 / $282.02	Facility	52	$49.57	$134.24	$282.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.82 / $53.69 / $112.81	Facility	53	$19.82	$53.69	$112.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $279.00 / $564.05	Professional		$97.14	$279.00	$564.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $143.63 / $239.60	Professional		$99.88	$143.63	$239.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.26 / $516.26 / $516.26	Facility		$516.26	$516.26	$516.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.40 / $604.00 / $604.00	Professional		$496.40	$604.00	$604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $455.62 / $850.95	Facility		$415.00	$455.62	$850.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $252.61 / $565.47	Professional		$123.54	$252.61	$565.47
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 $575.00 / $1,305.00 / $4,939.00	Facility		$575.00	$1,305.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $386.16 / $754.70	Professional		$253.40	$386.16	$754.70