Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.53 / $936.00 / $1,831.00	Facility		$221.53	$936.00	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,187.50 / $1,187.50 / $2,617.96	Facility	50	$1,187.50	$1,187.50	$2,617.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.43 / $44.31 / $116.19	Facility	53	$20.43	$44.31	$116.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $231.55 / $580.96	Professional		$95.10	$231.55	$580.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.40 / $669.00 / $702.41	Professional	50	$154.40	$669.00	$702.41
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.43 / $47.05 / $116.19	Professional	53	$20.43	$47.05	$116.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $243.94 / $634.07	Professional		$116.75	$243.94	$634.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $175.13 / $310.14 / $951.11	Professional	50	$175.13	$310.14	$951.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.09 / $560.09 / $616.10	Facility		$560.09	$560.09	$616.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $462.00 / $462.00	Professional		$462.00	$462.00	$462.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $494.44 / $1,168.67	Facility		$441.66	$494.44	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $232.09 / $468.27	Professional		$135.33	$232.09	$468.27
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 / $858.00 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.59 / $327.89 / $639.58	Professional		$201.59	$327.89	$639.58