Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.49 / $2,191.48 / $16,467.00	Facility		$730.49	$2,191.48	$16,467.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,181.38 / $6,673.80 / $13,946.70	Facility	50	$3,181.38	$6,673.80	$13,946.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.44 / $807.99 / $1,289.01	Professional		$655.44	$807.99	$1,289.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $532.78 / $1,501.85 / $4,348.17	Professional	50	$532.78	$1,501.85	$4,348.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,888.00 / $4,926.68 / $9,289.04	Facility		$1,888.00	$4,926.68	$9,289.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.77 / $818.00 / $1,581.16	Professional		$625.77	$818.00	$1,581.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $1,956.98 / $2,514.75	Facility		$715.00	$1,956.98	$2,514.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.89 / $1,034.44 / $1,842.87	Professional		$739.89	$1,034.44	$1,842.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $717.27 / $989.27 / $1,658.70	Facility		$717.27	$989.27	$1,658.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,425.00 / $1,661.66 / $2,488.04	Facility	50	$1,425.00	$1,661.66	$2,488.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,145.86 / $1,731.45 / $1,899.29	Professional		$1,145.86	$1,731.45	$1,899.29
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,718.81 / $1,718.81 / $2,848.94	Professional	50	$1,718.81	$1,718.81	$2,848.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.49 / $593.20 / $1,101.03	Professional		$75.49	$593.20	$1,101.03
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.71 / $1,121.47 / $2,166.86	Professional		$784.71	$1,121.47	$2,166.86