Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.51 / $993.00 / $2,575.00	Facility		$327.51	$993.00	$2,575.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $138.51 / $138.51 / $405.63	Facility	52	$138.51	$138.51	$405.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.40 / $55.40 / $162.25	Facility	53	$55.40	$55.40	$162.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.01 / $337.98 / $811.26	Professional		$277.01	$337.98	$811.26
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 $772.00 / $772.00 / $772.00	Professional		$772.00	$772.00	$772.00
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 $292.31 / $504.15 / $688.62	Professional		$292.31	$504.15	$688.62
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 $291.22 / $428.13 / $696.67	Professional		$291.22	$428.13	$696.67