Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.28 / $950.00 / $6,027.61	Facility		$214.28	$950.00	$6,027.61
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.10 / $107.92 / $311.64	Facility	52	$37.10	$107.92	$311.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.84 / $43.17 / $124.66	Facility	53	$14.84	$43.17	$124.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $215.84 / $623.28	Professional		$80.43	$215.84	$623.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.10 / $108.66 / $316.05	Professional	52	$37.10	$108.66	$316.05
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $14.84 / $43.46 / $126.42	Professional	53	$14.84	$43.46	$126.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.57 / $365.57 / $365.57	Facility		$365.57	$365.57	$365.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Professional		$423.00	$423.00	$423.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.83 / $326.83 / $954.56	Facility		$326.83	$326.83	$954.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $223.15 / $434.38	Professional		$120.91	$223.15	$434.38
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 $455.00 / $939.00 / $3,779.00	Facility		$455.00	$939.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $277.62 / $518.44	Professional		$190.82	$277.62	$518.44