Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.66 / $1,636.94 / $16,467.00	Facility		$594.66	$1,636.94	$16,467.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,750.00 / $4,357.50 / $7,691.65	Facility	50	$1,750.00	$4,357.50	$7,691.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.10 / $594.66 / $940.63	Professional		$505.10	$594.66	$940.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $643.61 / $1,486.43 / $4,248.30	Professional	50	$643.61	$1,486.43	$4,248.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,574.01 / $4,083.20 / $8,751.16	Facility		$1,574.01	$4,083.20	$8,751.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.99 / $750.00 / $1,059.42	Professional		$503.99	$750.00	$1,059.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,604.11 / $1,604.11 / $1,604.11	Facility		$1,604.11	$1,604.11	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.70 / $666.20 / $900.34	Professional		$519.70	$666.20	$900.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $525.71 / $671.26 / $950.84	Facility		$525.71	$671.26	$950.84
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $864.51 / $1,173.67 / $1,455.35	Facility	50	$864.51	$1,173.67	$1,455.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,397.41 / $1,397.41 / $1,397.41	Professional		$1,397.41	$1,397.41	$1,397.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,096.12 / $2,096.12 / $2,096.12	Professional	50	$2,096.12	$2,096.12	$2,096.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $401.35 / $673.10	Professional		$65.88	$401.35	$673.10
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.05 / $588.05 / $1,623.66	Professional		$472.05	$588.05	$1,623.66