Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.78 / $984.30 / $7,799.00	Facility		$177.78	$984.30	$7,799.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.90 / $113.11 / $221.12	Facility	52	$48.90	$113.11	$221.12
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.55 / $45.24 / $88.45	Facility	53	$19.55	$45.24	$88.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $233.40 / $633.29	Professional		$97.79	$233.40	$633.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.28 / $116.70 / $144.41	Professional	52	$39.28	$116.70	$144.41
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $15.71 / $45.24 / $57.76	Professional	53	$15.71	$45.24	$57.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.06 / $355.06 / $355.06	Professional		$355.06	$355.06	$355.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.03 / $1,271.07 / $2,677.40	Facility		$545.03	$1,271.07	$2,677.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $199.62 / $328.31	Professional		$74.33	$199.62	$328.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $401.98 / $516.54	Facility		$375.00	$401.98	$516.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $216.17 / $429.61	Professional		$115.27	$216.17	$429.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.69 / $224.50 / $379.00	Facility		$102.69	$224.50	$379.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.57 / $355.65 / $469.37	Professional		$313.57	$355.65	$469.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $261.93 / $404.63	Professional		$192.04	$261.93	$404.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,083.00 / $7,558.00	Facility		$1,106.00	$3,083.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $290.86 / $528.64	Professional		$195.28	$290.86	$528.64