Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $292.81 / $7,799.00	Facility		$100.93	$292.81	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $156.53 / $380.65	Professional		$74.54	$156.53	$380.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $55.99 / $473.83	Professional	50	$55.99	$55.99	$473.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $298.54 / $544.60	Facility		$145.09	$298.54	$544.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $152.43 / $263.45	Professional		$72.37	$152.43	$263.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.77 / $88.77 / $375.00	Facility		$88.77	$88.77	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $198.06 / $435.03	Professional		$90.54	$198.06	$435.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $216.72 / $425.36	Facility		$93.92	$216.72	$425.36
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $207.97 / $370.50 / $638.04	Facility	50	$207.97	$370.50	$638.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $78.54 / $92.00	Professional		$48.04	$78.54	$92.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $72.06 / $72.06 / $138.00	Professional	50	$72.06	$72.06	$138.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $261.93 / $404.63	Professional		$192.04	$261.93	$404.63
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $261.69 / $621.02	Professional		$195.61	$261.69	$621.02