Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,174.90 / $2,818.38	Facility		$223.87	$1,174.90	$2,818.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.26 / $104.71 / $114.82	Facility	53	$60.26	$104.71	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $562.34	Professional		$147.91	$257.04	$562.34
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $60.26 / $114.82 / $194.98	Professional	53	$60.26	$114.82	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $251.19	Professional		$169.82	$199.53	$251.19
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	53	$77.62	$77.62	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Facility		$524.81	$524.81	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $467.74 / $1,148.15	Facility		$436.52	$467.74	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $125.89 / $125.89 / $295.12	Professional	53	$125.89	$125.89	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,862.09	Facility		$457.09	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $676.08	Professional		$173.78	$309.03	$676.08