Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.22 / $1,250.00 / $3,000.00	Facility		$224.22	$1,250.00	$3,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.94 / $105.41 / $126.47	Facility	52	$63.94	$105.41	$126.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.65 / $69.12 / $126.46	Facility	53	$27.65	$69.12	$126.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $224.23 / $385.72	Professional		$138.24	$224.23	$385.72
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $34.19 / $69.12 / $146.12	Professional	53	$34.19	$69.12	$146.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.83 / $231.65 / $413.65	Professional		$206.83	$231.65	$413.65
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $206.85 / $206.85 / $206.85	Professional	53	$206.85	$206.85	$206.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.86 / $526.86 / $579.54	Facility		$526.86	$526.86	$579.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $506.00 / $506.00	Professional		$482.48	$506.00	$506.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.63 / $470.23 / $1,139.06	Facility		$440.63	$470.23	$1,139.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $126.44 / $126.44 / $294.89	Professional	53	$126.44	$126.44	$294.89
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 $446.00 / $823.00 / $2,011.00	Facility		$446.00	$823.00	$2,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.80 / $451.67 / $838.15	Professional		$291.80	$451.67	$838.15