Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.38 / $1,250.00 / $2,468.84	Facility		$543.38	$1,250.00	$2,468.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.09 / $275.52 / $1,182.90	Facility	52	$94.09	$275.52	$1,182.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.63 / $110.21 / $473.16	Facility	53	$37.63	$110.21	$473.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $551.05 / $2,365.79	Professional		$205.92	$551.05	$2,365.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $459.23 / $459.23 / $459.23	Professional		$459.23	$459.23	$459.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.61 / $1,026.61 / $1,026.61	Facility		$1,026.61	$1,026.61	$1,026.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $477.00 / $477.00	Professional		$477.00	$477.00	$477.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.02 / $993.02 / $993.02	Facility		$993.02	$993.02	$993.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $645.12 / $1,522.85	Professional		$233.65	$645.12	$1,522.85
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 $700.00 / $2,148.00 / $6,612.00	Facility		$700.00	$2,148.00	$6,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.14 / $1,067.78 / $2,168.46	Professional		$798.14	$1,067.78	$2,168.46