Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.03 / $1,977.32 / $13,335.00	Facility		$190.03	$1,977.32	$13,335.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,705.63 / $2,705.63 / $2,705.63	Facility	50	$2,705.63	$2,705.63	$2,705.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $1,670.40 / $2,594.98	Professional		$154.27	$1,670.40	$2,594.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.09 / $384.83 / $3,281.72	Professional	50	$126.09	$384.83	$3,281.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $5,421.44 / $10,970.79	Facility		$2,500.00	$5,421.44	$10,970.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $1,480.89 / $2,461.10	Professional		$146.37	$1,480.89	$2,461.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,912.13 / $3,912.13 / $5,027.16	Facility		$3,912.13	$3,912.13	$5,027.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.40 / $471.78 / $3,347.07	Professional		$221.40	$471.78	$3,347.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.03 / $1,994.69 / $3,566.95	Facility		$190.03	$1,994.69	$3,566.95
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $420.79 / $4,061.51 / $5,350.42	Facility	50	$420.79	$4,061.51	$5,350.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,246.79 / $2,660.60 / $3,461.30	Professional		$1,246.79	$2,660.60	$3,461.30
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,870.19 / $1,870.19 / $3,990.89	Professional	50	$1,870.19	$1,870.19	$3,990.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.61 / $1,743.41 / $2,707.09	Professional		$1,288.61	$1,743.41	$2,707.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,757.82 / $2,721.07 / $5,080.97	Professional		$1,757.82	$2,721.07	$5,080.97