Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $500.00 / $1,831.00	Facility		$58.65	$500.00	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.68 / $56.52 / $148.21	Facility	52	$28.68	$56.52	$148.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $124.36 / $296.42	Professional		$58.66	$124.36	$296.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $145.68 / $145.68	Professional		$65.55	$145.68	$145.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.58 / $410.58 / $410.58	Facility		$410.58	$410.58	$410.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $293.00 / $293.00	Professional		$293.00	$293.00	$293.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.53 / $384.58 / $648.21	Facility		$343.53	$384.58	$648.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $154.52 / $290.22	Professional		$82.62	$154.52	$290.22
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $193.43 / $351.66	Professional		$122.66	$193.43	$351.66