Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.23 / $1,298.14 / $9,727.00	Facility		$217.23	$1,298.14	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $477.08 / $626.25	Professional		$175.48	$477.08	$626.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,293.90 / $3,293.90 / $3,293.90	Professional	50	$3,293.90	$3,293.90	$3,293.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,547.21 / $5,644.35 / $10,970.79	Facility		$2,547.21	$5,644.35	$10,970.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $481.90 / $736.95	Professional		$167.46	$481.90	$736.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,048.92 / $2,048.92 / $2,632.90	Facility		$2,048.92	$2,048.92	$2,632.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $509.79 / $1,003.98	Professional		$225.77	$509.79	$1,003.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $217.23 / $595.19 / $924.46	Facility		$217.23	$595.19	$924.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $481.00 / $983.54 / $1,386.69	Facility	50	$481.00	$983.54	$1,386.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,321.72 / $1,812.80 / $2,093.60	Professional		$1,321.72	$1,812.80	$2,093.60
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,982.58 / $1,982.58 / $3,140.39	Professional	50	$1,982.58	$1,982.58	$3,140.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $411.42 / $561.10 / $857.61	Professional		$411.42	$561.10	$857.61
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $676.12 / $1,260.54	Professional		$465.44	$676.12	$1,260.54