Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.31 / $993.00 / $2,825.00	Facility		$240.31	$993.00	$2,825.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.32 / $46.31 / $121.45	Facility	53	$18.32	$46.31	$121.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $231.56 / $489.40	Professional		$91.34	$231.56	$489.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $225.03 / $493.19	Professional		$117.19	$225.03	$493.19
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 $314.00 / $314.00 / $314.00	Professional		$314.00	$314.00	$314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.53 / $384.58 / $425.17	Facility		$343.53	$384.58	$425.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $228.48 / $477.36	Professional		$121.04	$228.48	$477.36
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 $216.92 / $336.92 / $643.23	Professional		$216.92	$336.92	$643.23