Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,648.11 / $2,825.00	Facility		$750.00	$1,648.11	$2,825.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $136.82 / $136.82 / $329.62	Facility	53	$136.82	$136.82	$329.62
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $513.09 / $513.09 / $1,236.08	Facility	54	$513.09	$513.09	$1,236.08
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $102.62 / $102.62 / $247.22	Facility	55	$102.62	$102.62	$247.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $634.74 / $1,648.11	Professional		$584.94	$634.74	$1,648.11
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $86.62 / $102.62 / $247.22	Professional	55	$86.62	$102.62	$247.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,801.93 / $5,801.93 / $7,020.34	Facility		$5,801.93	$5,801.93	$7,020.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $845.12 / $845.12 / $845.12	Professional		$845.12	$845.12	$845.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,889.48 / $3,889.48 / $4,299.92	Facility		$3,889.48	$3,889.48	$4,299.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $880.84 / $1,612.20	Professional		$636.69	$880.84	$1,612.20
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 $985.00 / $4,148.00 / $12,216.00	Facility		$985.00	$4,148.00	$12,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.49 / $819.69 / $1,541.11	Professional		$641.49	$819.69	$1,541.11