Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.55 / $521.25 / $4,751.00	Facility		$228.55	$521.25	$4,751.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.86 / $55.75 / $144.91	Facility	52	$34.86	$55.75	$144.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.95 / $22.30 / $57.97	Facility	53	$13.95	$22.30	$57.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $112.43 / $399.23	Professional		$69.73	$112.43	$399.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.32 / $50.43 / $117.33	Professional	52	$31.32	$50.43	$117.33
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $12.53 / $22.30 / $57.97	Professional	53	$12.53	$22.30	$57.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $109.10 / $164.11	Professional		$89.16	$109.10	$164.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.98 / $345.83 / $600.69	Facility		$182.98	$345.83	$600.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $96.26 / $167.94	Professional		$58.60	$96.26	$167.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $84.61	Facility		$65.84	$65.84	$84.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $124.68 / $202.04	Professional		$91.57	$124.68	$202.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $132.94 / $196.67	Facility		$76.70	$132.94	$196.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.25 / $90.58	Professional		$55.57	$58.25	$90.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $138.06 / $259.23	Professional		$93.77	$138.06	$259.23