Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.63 / $3,063.65 / $8,223.95	Facility		$491.63	$3,063.65	$8,223.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.77 / $92.77 / $170.56	Facility	52	$92.77	$92.77	$170.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.11 / $92.90 / $170.53	Facility	53	$37.11	$92.90	$170.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $328.49 / $634.20	Professional		$180.09	$328.49	$634.20
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.11 / $92.90 / $194.91	Professional	53	$37.11	$92.90	$194.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.94 / $182.69 / $320.43	Professional		$169.94	$182.69	$320.43
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $85.12 / $91.50 / $157.80	Professional	53	$85.12	$91.50	$157.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.80 / $1,423.62 / $2,944.13	Facility		$636.80	$1,423.62	$2,944.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $408.00 / $768.14	Professional		$176.74	$408.00	$768.14
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $85.12 / $153.63 / $210.09	Professional	53	$85.12	$153.63	$210.09
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 $194.94 / $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 / $324.18	Professional		$301.75	$301.75	$324.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.53 / $362.00 / $564.46	Facility		$185.53	$362.00	$564.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $508.00 / $821.94	Professional		$333.25	$508.00	$821.94
Medcost Facility/Professional Professional Modifier 53 Low / Median / High Price $411.40 / $411.40 / $478.20	Professional	53	$411.40	$411.40	$478.20
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 $289.27 / $414.31 / $780.97	Professional		$289.27	$414.31	$780.97