Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.09 / $1,358.40 / $2,639.00	Facility		$206.09	$1,358.40	$2,639.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.53 / $30.53 / $78.11	Facility	53	$30.53	$30.53	$78.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $206.09 / $390.57	Professional		$89.02	$206.09	$390.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $89.49 / $118.57	Professional		$89.49	$89.49	$118.57
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 $138.88 / $264.00 / $355.35	Professional		$138.88	$264.00	$355.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $167.07 / $381.04	Professional		$105.80	$167.07	$381.04
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 $197.32 / $250.54 / $467.84	Professional		$197.32	$250.54	$467.84