Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $696.78 / $1,831.00	Facility		$82.55	$696.78	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $26.20 / $41.28 / $89.20	Facility	52	$26.20	$41.28	$89.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.48 / $16.51 / $35.68	Facility	53	$10.48	$16.51	$35.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $98.89 / $193.00	Professional		$71.73	$98.89	$193.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.20 / $56.80 / $104.38	Professional	52	$26.20	$56.80	$104.38
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.48 / $22.72 / $41.75	Professional	53	$10.48	$22.72	$41.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $143.35 / $220.50	Professional		$73.05	$143.35	$220.50
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $18.26 / $18.26 / $18.26	Professional	52	$18.26	$18.26	$18.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Professional		$192.00	$192.00	$192.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $53.54 / $393.27	Facility		$53.54	$53.54	$393.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $135.74 / $207.95	Professional		$74.48	$135.74	$207.95
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 $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $131.10 / $247.55	Professional		$90.49	$131.10	$247.55