Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.23 / $7,799.00 / $14,644.00	Facility		$390.23	$7,799.00	$14,644.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,339.73 / $11,671.79 / $11,904.54	Facility	50	$2,339.73	$11,671.79	$11,904.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.25 / $390.23 / $778.94	Professional		$317.25	$390.23	$778.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $700.32 / $717.41 / $2,795.80	Professional	50	$700.32	$717.41	$2,795.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,541.59 / $4,442.29 / $10,419.37	Facility		$1,541.59	$4,442.29	$10,419.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.92 / $837.00 / $1,379.42	Professional		$298.92	$837.00	$1,379.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $3,086.58 / $3,966.31	Facility		$815.00	$3,086.58	$3,966.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.44 / $532.52 / $830.94	Professional		$355.44	$532.52	$830.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $390.23 / $576.05 / $795.93	Facility		$390.23	$576.05	$795.93
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $696.85 / $978.00 / $1,710.00	Facility	50	$696.85	$978.00	$1,710.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,246.79 / $2,730.89 / $3,212.86	Professional		$1,246.79	$2,730.89	$3,212.86
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,870.19 / $1,870.19 / $4,819.29	Professional	50	$1,870.19	$1,870.19	$4,819.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $379.38 / $595.62	Professional		$282.83	$379.38	$595.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $13,190.00 / $23,893.00	Facility		$5,114.00	$13,190.00	$23,893.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.98 / $475.12 / $849.48	Professional		$315.98	$475.12	$849.48