Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.45 / $3,502.38 / $8,398.52	Facility		$475.45	$3,502.38	$8,398.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,530.58 / $8,530.58 / $8,530.58	Facility	50	$8,530.58	$8,530.58	$8,530.58
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.95 / $181.19 / $523.23	Facility	52	$70.95	$181.19	$523.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.38 / $72.47 / $209.29	Facility	53	$28.38	$72.47	$209.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $415.64 / $1,046.45	Professional		$144.33	$415.64	$1,046.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,456.89 / $1,456.89 / $1,456.89	Professional	50	$1,456.89	$1,456.89	$1,456.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.06 / $1,790.06 / $1,790.06	Facility		$1,790.06	$1,790.06	$1,790.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.00 / $942.00 / $942.00	Professional		$942.00	$942.00	$942.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,712.45 / $1,712.45 / $3,625.40	Facility		$1,712.45	$1,712.45	$3,625.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $340.49 / $962.45	Professional		$178.57	$340.49	$962.45
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 $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.85 / $630.94 / $1,047.82	Professional		$410.85	$630.94	$1,047.82