Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.77 / $886.75 / $4,230.00	Facility		$190.77	$886.75	$4,230.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.81 / $76.93 / $209.94	Facility	52	$36.81	$76.93	$209.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $123.36 / $246.34	Professional		$60.73	$123.36	$246.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $106.61 / $106.61	Professional		$54.42	$106.61	$106.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.67 / $887.96 / $1,647.15	Facility		$406.67	$887.96	$1,647.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $117.41 / $210.32	Professional		$61.94	$117.41	$210.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $375.00 / $607.82	Facility		$110.27	$375.00	$607.82
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $157.13 / $265.64	Professional		$87.33	$157.13	$265.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $154.00 / $284.60	Facility		$73.62	$154.00	$284.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $518.09 / $518.09	Professional		$518.09	$518.09	$518.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.85 / $228.07	Professional		$109.73	$148.85	$228.07
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $161.83 / $327.93	Professional		$114.62	$161.83	$327.93