Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $2,313.00 / $6,942.54	Facility		$784.00	$2,313.00	$6,942.54
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.39 / $238.68 / $1,156.32	Facility	52	$94.39	$238.68	$1,156.32
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.75 / $95.47 / $462.53	Facility	53	$37.75	$95.47	$462.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $368.93 / $2,312.63	Professional		$234.72	$368.93	$2,312.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.75 / $95.47 / $541.25	Professional	53	$37.75	$95.47	$541.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $523.23 / $1,333.30	Professional		$266.64	$523.23	$1,333.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.90 / $1,605.90 / $1,605.90	Facility		$1,605.90	$1,605.90	$1,605.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $615.00 / $615.00	Professional		$615.00	$615.00	$615.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,732.06 / $1,732.06 / $3,210.40	Facility		$1,732.06	$1,732.06	$3,210.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.01 / $497.42 / $2,361.33	Professional		$255.01	$497.42	$2,361.33
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 $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.71 / $1,237.58 / $3,212.41	Professional		$366.71	$1,237.58	$3,212.41