Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.83 / $1,040.00 / $3,766.50	Facility		$291.83	$1,040.00	$3,766.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.60 / $58.37 / $126.13	Facility	53	$24.60	$58.37	$126.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $280.14 / $630.63	Professional		$167.03	$280.14	$630.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.90 / $1,605.90 / $1,605.90	Facility		$1,605.90	$1,605.90	$1,605.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.00 / $498.00 / $498.00	Professional		$498.00	$498.00	$498.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,732.06 / $1,732.06 / $3,210.40	Facility		$1,732.06	$1,732.06	$3,210.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $310.83 / $562.40	Professional		$178.74	$310.83	$562.40
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 $256.37 / $383.62 / $672.67	Professional		$256.37	$383.62	$672.67