Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.88 / $9,062.00 / $16,467.00	Facility		$308.88	$9,062.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $3,145.75 / $4,014.94	Professional		$249.71	$3,145.75	$4,014.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,180.29 / $6,395.25 / $6,629.49	Professional	50	$6,180.29	$6,395.25	$6,629.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,636.78 / $5,475.43 / $10,444.84	Facility		$2,636.78	$5,475.43	$10,444.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $2,887.00 / $4,736.16	Professional		$236.30	$2,887.00	$4,736.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,956.60 / $3,956.60 / $5,084.31	Facility		$3,956.60	$3,956.60	$5,084.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $766.63 / $6,441.15	Professional		$317.76	$766.63	$6,441.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.88 / $3,720.61 / $6,863.20	Facility		$308.88	$3,720.61	$6,863.20
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $683.97 / $7,577.84 / $10,294.79	Facility	50	$683.97	$7,577.84	$10,294.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,024.58 / $3,212.86 / $3,500.65	Professional		$2,024.58	$3,212.86	$3,500.65
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,036.87 / $3,036.87 / $4,819.29	Professional	50	$3,036.87	$3,036.87	$4,819.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,443.68 / $3,298.97 / $5,140.70	Professional		$2,443.68	$3,298.97	$5,140.70
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 $3,248.37 / $4,790.64 / $9,686.56	Professional		$3,248.37	$4,790.64	$9,686.56