Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.11 / $1,559.74 / $16,467.00	Facility		$249.11	$1,559.74	$16,467.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.56 / $253.12 / $779.87	Facility	52	$124.56	$253.12	$779.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $506.24 / $808.59	Professional		$177.32	$506.24	$808.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $88.66 / $298.85 / $404.30	Professional	52	$88.66	$298.85	$404.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,204.60 / $5,713.28 / $10,039.83	Facility		$2,204.60	$5,713.28	$10,039.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $292.16 / $706.19	Professional		$174.21	$292.16	$706.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.86 / $535.86 / $688.59	Facility		$535.86	$535.86	$688.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.99 / $508.01 / $1,126.45	Professional		$219.99	$508.01	$1,126.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $211.74 / $742.01 / $1,365.00	Facility		$211.74	$742.01	$1,365.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.10 / $1,079.03 / $2,862.58	Professional		$474.10	$1,079.03	$2,862.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $500.69 / $632.65 / $953.53	Professional		$500.69	$632.65	$953.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,680.00 / $20,474.00	Facility		$2,155.00	$13,680.00	$20,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.87 / $910.90 / $1,496.63	Professional		$593.87	$910.90	$1,496.63