Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.69 / $2,105.16 / $4,375.00	Facility		$298.69	$2,105.16	$4,375.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.25 / $54.43 / $130.00	Facility	53	$23.25	$54.43	$130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $224.93 / $523.45	Professional		$91.83	$224.93	$523.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $213.78 / $413.77	Professional		$101.48	$213.78	$413.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,425.52 / $2,714.46	Facility		$593.00	$1,425.52	$2,714.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $317.22 / $554.45	Professional		$96.86	$317.22	$554.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $580.00 / $607.82	Facility		$168.56	$580.00	$607.82
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	53	$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $252.86 / $486.08	Professional		$126.65	$252.86	$486.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $298.69 / $461.74	Facility		$116.27	$298.69	$461.74
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 $219.46 / $297.71 / $456.15	Professional		$219.46	$297.71	$456.15
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 $208.24 / $272.93 / $601.41	Professional		$208.24	$272.93	$601.41