Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $1,223.00 / $2,848.68	Facility		$238.54	$1,223.00	$2,848.68
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.27 / $1,455.99 / $1,455.99	Facility	52	$119.27	$1,455.99	$1,455.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.93 / $161.29 / $297.04	Facility	53	$87.93	$161.29	$297.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $238.54 / $439.63	Professional		$164.77	$238.54	$439.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.21 / $87.93 / $220.03	Professional	53	$36.21	$87.93	$220.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.95 / $200.17 / $289.99	Professional		$163.95	$200.17	$289.99
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $82.11 / $82.11 / $145.22	Professional	53	$82.11	$82.11	$145.22
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 $215.10 / $347.70 / $483.66	Professional		$215.10	$347.70	$483.66
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $61.87 / $118.79 / $138.72	Professional	53	$61.87	$118.79	$138.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $397.10	Professional		$301.75	$301.75	$397.10
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,141.00 / $2,473.00	Facility		$375.00	$1,141.00	$2,473.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $357.34 / $639.90	Professional		$255.24	$357.34	$639.90
United Facility/Professional Professional Modifier 53 Low / Median / High Price $159.44 / $159.44 / $159.44	Professional	53	$159.44	$159.44	$159.44