Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.15 / $7,354.86 / $14,708.97	Facility		$447.15	$7,354.86	$14,708.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,514.59 / $3,514.59 / $3,514.59	Facility	50	$3,514.59	$3,514.59	$3,514.59
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $182.95 / $182.95 / $418.40	Facility	52	$182.95	$182.95	$418.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.18 / $73.18 / $167.36	Facility	53	$73.18	$73.18	$167.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $365.90 / $878.72	Professional		$293.08	$365.90	$878.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $4,577.53 / $9,582.91	Facility		$2,000.00	$4,577.53	$9,582.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.47 / $555.00 / $987.19	Professional		$279.47	$555.00	$987.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.17 / $2,106.17 / $2,706.47	Facility		$2,106.17	$2,106.17	$2,706.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.37 / $428.14 / $785.89	Professional		$333.37	$428.14	$785.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $305.23 / $451.20 / $900.00	Facility		$305.23	$451.20	$900.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $639.67 / $1,113.21 / $1,350.00	Facility	50	$639.67	$1,113.21	$1,350.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.21 / $1,863.46 / $2,252.57	Professional		$1,174.21	$1,863.46	$2,252.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $379.38 / $595.62	Professional		$282.83	$379.38	$595.62
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.19 / $407.06 / $791.61	Professional		$289.19	$407.06	$791.61