Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $5,324.68 / $16,639.00	Facility		$216.35	$5,324.68	$16,639.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,791.49 / $2,791.49 / $2,791.49	Facility	50	$2,791.49	$2,791.49	$2,791.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $485.58 / $3,831.30	Professional		$175.21	$485.58	$3,831.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.97 / $123.97 / $160.59	Professional	50	$123.97	$123.97	$160.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,547.21 / $5,421.44 / $10,970.79	Facility		$2,547.21	$5,421.44	$10,970.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $1,506.57 / $2,492.60	Professional		$167.03	$1,506.57	$2,492.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,822.02 / $1,822.02 / $2,341.32	Facility		$1,822.02	$1,822.02	$2,341.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.02 / $537.54 / $4,762.26	Professional		$256.02	$537.54	$4,762.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $2,059.13 / $5,070.81	Facility		$216.35	$2,059.13	$5,070.81
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $479.07 / $5,419.76 / $7,606.22	Facility	50	$479.07	$5,419.76	$7,606.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,246.79 / $1,612.05 / $2,676.96	Professional		$1,246.79	$1,612.05	$2,676.96
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,870.19 / $1,870.19 / $4,015.44	Professional	50	$1,870.19	$1,870.19	$4,015.44
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 $1,782.45 / $3,298.13 / $6,764.78	Professional		$1,782.45	$3,298.13	$6,764.78