Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.12 / $1,128.00 / $2,250.00	Facility		$238.12	$1,128.00	$2,250.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.06 / $119.06 / $219.60	Facility	52	$119.06	$119.06	$219.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.62 / $119.06 / $219.60	Facility	53	$47.62	$119.06	$219.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $238.12 / $439.20	Professional		$164.50	$238.12	$439.20
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.11 / $87.84 / $219.59	Professional	53	$36.11	$87.84	$219.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $198.55 / $289.56	Professional		$173.16	$198.55	$289.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.50 / $1,568.51 / $2,110.16	Facility		$1,292.50	$1,568.51	$2,110.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.96 / $347.47 / $492.76	Professional		$214.96	$347.47	$492.76
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $61.78 / $118.68 / $138.53	Professional	53	$61.78	$118.68	$138.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $397.10	Professional		$301.45	$301.45	$397.10
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $1,213.00 / $2,473.00	Facility		$410.00	$1,213.00	$2,473.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $350.42 / $607.27	Professional		$254.70	$350.42	$607.27
United Facility/Professional Professional Modifier 53 Low / Median / High Price $172.50 / $172.50 / $172.50	Professional	53	$172.50	$172.50	$172.50