Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.64 / $127.17 / $3,109.00	Facility		$54.64	$127.17	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $67.59 / $92.61	Professional		$47.06	$67.59	$92.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.42 / $32.59 / $43.02	Professional	52	$25.42	$32.59	$43.02
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.17 / $13.04 / $17.21	Professional	53	$10.17	$13.04	$17.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.16 / $181.16 / $217.39	Facility		$181.16	$181.16	$217.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $67.63 / $98.36	Professional		$45.99	$67.63	$98.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $154.16 / $154.16	Facility		$154.16	$154.16	$154.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $86.76 / $121.50	Professional		$69.50	$86.76	$121.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $116.62 / $116.62	Professional		$116.62	$116.62	$116.62
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $82.69 / $136.88	Professional		$63.71	$82.69	$136.88