Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.10 / $1,311.00 / $3,815.70	Facility		$584.10	$1,311.00	$3,815.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.03 / $105.56 / $126.56	Facility	52	$64.03	$105.56	$126.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.69 / $69.31 / $126.65	Facility	53	$27.69	$69.31	$126.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $238.54 / $431.26	Professional		$138.43	$238.54	$431.26
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $34.22 / $69.31 / $146.63	Professional	53	$34.22	$69.31	$146.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.28 / $232.00 / $411.41	Professional		$182.28	$232.00	$411.41
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $82.68 / $120.34 / $207.48	Professional	53	$82.68	$120.34	$207.48
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 / $739.00 / $739.00	Professional		$482.48	$739.00	$739.00
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 $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $126.44 / $126.44 / $468.11	Professional	53	$126.44	$126.44	$468.11
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 $295.39 / $466.21 / $839.17	Professional		$295.39	$466.21	$839.17