Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.59 / $3,823.92 / $5,000.27	Facility		$439.59	$3,823.92	$5,000.27
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.69 / $68.69 / $131.29	Facility	52	$68.69	$68.69	$131.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.51 / $119.84 / $219.79	Facility	53	$52.51	$119.84	$219.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $270.23 / $439.59	Professional		$164.50	$270.23	$439.59
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.88 / $80.51 / $194.49	Professional	53	$37.88	$80.51	$194.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $172.56 / $172.56	Professional		$172.56	$172.56	$172.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.50 / $2,750.34 / $4,395.92	Facility		$780.50	$2,750.34	$4,395.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $329.06 / $478.23	Professional		$197.44	$329.06	$478.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $579.87	Facility		$243.26	$243.26	$579.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $206.68 / $506.77	Professional		$32.34	$206.68	$506.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $310.89 / $488.31	Facility		$172.56	$310.89	$488.31
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $433.30 / $916.25	Professional		$301.45	$433.30	$916.25
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,516.00 / $2,655.00	Facility		$525.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.56 / $526.95 / $707.03	Professional		$373.56	$526.95	$707.03