Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $936.00 / $1,831.00	Facility		$150.97	$936.00	$1,831.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.79 / $28.79 / $91.93	Facility	52	$28.79	$28.79	$91.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $75.55 / $183.86	Professional		$57.57	$75.55	$183.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.41 / $533.41 / $533.41	Facility		$533.41	$533.41	$533.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $494.44 / $1,168.67	Facility		$441.66	$494.44	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $141.83 / $204.55	Professional		$76.27	$141.83	$204.55
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $103.36 / $276.58	Professional		$56.20	$103.36	$276.58