Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.73 / $951.46 / $1,831.00	Facility		$332.73	$951.46	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.36 / $166.37 / $475.73	Facility	52	$54.36	$166.37	$475.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $332.73 / $984.70	Professional		$108.71	$332.73	$984.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.65 / $659.65 / $659.65	Facility		$659.65	$659.65	$659.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $366.00 / $634.28	Professional		$366.00	$366.00	$634.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $572.89 / $1,438.83	Facility		$415.00	$572.89	$1,438.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $277.25 / $905.41	Professional		$139.68	$277.25	$905.41
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 $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.93 / $488.19 / $1,084.85	Professional		$214.93	$488.19	$1,084.85