Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.07 / $4,357.50 / $12,766.94	Facility		$395.07	$4,357.50	$12,766.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.29 / $79.01 / $142.12	Facility	53	$33.29	$79.01	$142.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.48 / $361.49 / $946.96	Professional		$166.48	$361.49	$946.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,262.56 / $5,311.08 / $8,883.19	Facility		$2,262.56	$5,311.08	$8,883.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $306.33 / $490.88	Professional		$141.66	$306.33	$490.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,130.29 / $2,130.29 / $2,737.46	Facility		$2,130.29	$2,130.29	$2,737.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.93 / $292.43 / $619.15	Professional		$206.93	$292.43	$619.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.76 / $313.54 / $582.86	Facility		$178.76	$313.54	$582.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,034.70 / $1,884.79 / $2,096.12	Professional		$1,034.70	$1,884.79	$2,096.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.36 / $374.39 / $579.09	Professional		$274.36	$374.39	$579.09
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 $280.22 / $350.58 / $762.09	Professional		$280.22	$350.58	$762.09