Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,000.00 / $5,623.41	Facility		$213.80	$1,000.00	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $218.78 / $446.68	Professional		$74.13	$218.78	$446.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	52	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.50 / $26.30 / $38.90	Professional	53	$19.50	$26.30	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $173.78 / $251.19	Professional		$69.18	$173.78	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $954.99	Facility		$323.59	$323.59	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $389.05	Professional		$93.33	$208.93	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $1,862.09	Facility		$478.63	$977.24	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $389.05	Professional		$83.18	$204.17	$389.05