Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.69 / $383.60 / $9,062.00	Facility		$226.69	$383.60	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $189.62 / $352.81	Professional		$71.20	$189.62	$352.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $150.93 / $336.29	Professional		$78.62	$150.93	$336.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $256.77 / $526.66	Professional		$95.85	$256.77	$526.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.98 / $345.43 / $674.00	Facility		$93.98	$345.43	$674.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $226.50 / $741.51 / $1,011.00	Facility	50	$226.50	$741.51	$1,011.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,162.70 / $1,162.70 / $1,162.70	Professional		$1,162.70	$1,162.70	$1,162.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.40 / $317.49 / $477.59	Professional		$233.40	$317.49	$477.59
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.97 / $337.92 / $640.95	Professional		$239.97	$337.92	$640.95