Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $4,230.00 / $9,870.00	Facility		$73.37	$4,230.00	$9,870.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.69 / $36.69 / $116.47	Facility	52	$36.69	$36.69	$116.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $72.84 / $113.95	Professional		$60.56	$72.84	$113.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,652.14 / $2,887.55	Facility		$780.00	$1,652.14	$2,887.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $183.00 / $321.77	Professional		$60.67	$183.00	$321.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $580.00 / $781.44	Facility		$72.65	$580.00	$781.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.37 / $56.37 / $56.37	Facility	52	$56.37	$56.37	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $121.65 / $207.79	Professional		$94.78	$121.65	$207.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $139.75 / $234.00	Facility		$73.37	$139.75	$234.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $86.45 / $206.65	Professional		$52.39	$86.45	$206.65