Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $954.99 / $1,995.26	Facility		$112.20	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $295.12	Professional		$95.50	$120.23	$295.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	52	$309.03	$309.03	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $173.78	Professional		$93.33	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $363.08	Facility		$77.62	$87.10	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $229.09	Professional		$120.23	$165.96	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $562.34 / $1,621.81	Facility		$223.87	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $245.47	Professional		$93.33	$125.89	$245.47