Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.77 / $750.03 / $9,062.00	Facility		$148.77	$750.03	$9,062.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,431.21 / $2,431.21 / $2,431.21	Facility	52	$2,431.21	$2,431.21	$2,431.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $127.57 / $184.62	Professional		$97.16	$127.57	$184.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.24 / $638.20 / $1,004.92	Facility		$338.24	$638.20	$1,004.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $119.82 / $196.65	Professional		$105.00	$119.82	$196.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $136.44 / $187.40	Facility		$100.00	$136.44	$187.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $148.90 / $283.02	Professional		$116.41	$148.90	$283.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $148.77 / $252.91	Facility		$114.90	$148.77	$252.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $133.13 / $133.13	Professional		$133.13	$133.13	$133.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $129.19 / $202.71	Professional		$92.25	$129.19	$202.71
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $128.08 / $287.68	Professional		$96.43	$128.08	$287.68