Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.20 / $575.00 / $1,728.00	Facility		$96.20	$575.00	$1,728.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.10 / $48.10 / $95.44	Facility	52	$48.10	$48.10	$95.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $113.03 / $190.88	Professional		$65.80	$113.03	$190.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $217.50	Professional		$69.92	$69.92	$217.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,138.81 / $1,382.00 / $1,859.23	Facility		$1,138.81	$1,382.00	$1,859.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $134.52 / $191.40	Professional		$79.80	$134.52	$191.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $132.22 / $290.22	Professional		$74.47	$132.22	$290.22
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,213.00 / $2,488.00	Facility		$375.00	$1,213.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $131.21 / $255.86	Professional		$107.46	$131.21	$255.86