Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $325.66 / $2,644.97	Facility		$169.76	$325.66	$2,644.97
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.28 / $84.88 / $162.83	Facility	52	$40.28	$84.88	$162.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $152.41 / $262.22	Professional		$75.30	$152.41	$262.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $76.83 / $370.66	Professional		$66.47	$76.83	$370.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.98 / $615.47 / $1,223.01	Facility		$304.98	$615.47	$1,223.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $144.41 / $282.74	Professional		$74.33	$144.41	$282.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $1,033.26 / $1,920.76	Facility		$124.64	$1,033.26	$1,920.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $169.62 / $354.25	Professional		$89.57	$169.62	$354.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $195.22 / $409.93	Facility		$83.46	$195.22	$409.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $383.00 / $440.12	Professional		$150.00	$383.00	$440.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.73 / $293.23	Professional		$137.22	$187.73	$293.23
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $197.70 / $356.52	Professional		$146.66	$197.70	$356.52