Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $4,897.79 / $9,772.37	Facility		$269.15	$4,897.79	$9,772.37
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	52	$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $309.03	Professional		$93.33	$125.89	$309.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $309.03 / $309.03	Professional	52	$43.65	$309.03	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $1,047.13	Facility		$331.13	$588.84	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $181.97	Professional		$104.71	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $186.21	Facility		$100.00	$100.00	$186.21
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	52	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $275.42	Professional		$114.82	$147.91	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $302.00	Professional		$190.55	$190.55	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $147.91 / $245.47	Facility		$107.15	$147.91	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $186.21	Professional		$87.10	$114.82	$186.21