Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.83 / $2,267.14 / $6,343.34	Facility		$340.83	$2,267.14	$6,343.34
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.63 / $92.63 / $170.42	Facility	52	$92.63	$92.63	$170.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.04 / $92.63 / $170.25	Facility	53	$37.04	$92.63	$170.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $290.63 / $552.29	Professional		$180.03	$290.63	$552.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.04 / $91.25 / $194.49	Professional	53	$37.04	$91.25	$194.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $173.16 / $305.42	Professional		$169.68	$173.16	$305.42
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $91.21 / $91.21 / $106.06	Professional	53	$91.21	$91.21	$106.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $1,423.62 / $2,997.73	Facility		$603.00	$1,423.62	$2,997.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $408.00 / $768.14	Professional		$176.47	$408.00	$768.14
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $84.85 / $153.37 / $209.73	Professional	53	$84.85	$153.37	$209.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $560.00 / $645.24	Facility		$375.00	$560.00	$645.24
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.26 / $362.00 / $564.46	Facility		$185.26	$362.00	$564.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.48 / $508.00 / $819.22	Professional		$303.48	$508.00	$819.22
Medcost Facility/Professional Professional Modifier 53 Low / Median / High Price $410.06 / $410.06 / $476.77	Professional	53	$410.06	$410.06	$476.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $269.96 / $453.89	Professional		$154.55	$269.96	$453.89
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $3,682.00 / $6,584.00	Facility		$438.00	$3,682.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.66 / $414.59 / $779.85	Professional		$288.66	$414.59	$779.85