Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,933.22 / $4,807.95	Facility		$1,000.00	$2,933.22	$4,807.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.77 / $68.77 / $131.37	Facility	52	$68.77	$68.77	$131.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.55 / $120.37 / $220.32	Facility	53	$52.55	$120.37	$220.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $270.44 / $440.11	Professional		$164.77	$270.44	$440.11
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.88 / $80.61 / $201.75	Professional	53	$37.88	$80.61	$201.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $173.46 / $225.50	Professional		$172.90	$173.46	$225.50
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 / $462.50	Professional		$197.44	$329.06	$462.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $243.68 / $579.87	Facility		$243.68	$243.68	$579.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $206.68 / $507.39	Professional		$32.34	$206.68	$507.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.90 / $311.27 / $488.31	Facility		$172.90	$311.27	$488.31
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $433.30 / $918.20	Professional		$301.75	$433.30	$918.20
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 $358.05 / $528.07 / $707.03	Professional		$358.05	$528.07	$707.03