Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,525.00 / $3,875.00	Facility		$750.00	$1,525.00	$3,875.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $329.15 / $329.15 / $554.07	Facility	52	$329.15	$329.15	$554.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $131.66 / $131.66 / $221.63	Facility	53	$131.66	$131.66	$221.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $605.12 / $1,047.77	Professional		$530.37	$605.12	$1,047.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $483.70 / $483.70 / $677.18	Professional		$483.70	$483.70	$677.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.00 / $871.00 / $871.00	Professional		$871.00	$871.00	$871.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $3,975.00 / $16,742.18	Facility		$2,900.00	$3,975.00	$16,742.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.38 / $865.82 / $1,281.83	Professional		$576.38	$865.82	$1,281.83
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 $1,185.00 / $6,023.00 / $12,556.00	Facility		$1,185.00	$6,023.00	$12,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.32 / $728.41 / $1,632.39	Professional		$557.32	$728.41	$1,632.39