Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.02 / $695.97 / $9,727.00	Facility		$179.02	$695.97	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $280.32 / $446.43	Professional		$144.15	$280.32	$446.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,466.25 / $1,466.25 / $1,466.25	Professional	50	$1,466.25	$1,466.25	$1,466.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,884.61 / $4,324.38 / $8,116.91	Facility		$1,884.61	$4,324.38	$8,116.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $274.30 / $431.42	Professional		$137.76	$274.30	$431.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.88 / $237.88 / $305.68	Facility		$237.88	$237.88	$305.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $322.58 / $538.64	Professional		$186.19	$322.58	$538.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.02 / $343.41 / $506.94	Facility		$179.02	$343.41	$506.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $396.40 / $526.35 / $760.41	Facility	50	$396.40	$526.35	$760.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $210.46 / $317.01	Professional		$195.38	$210.46	$317.01
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $293.07 / $293.07 / $475.52	Professional	50	$293.07	$293.07	$475.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $299.31 / $460.32	Professional		$219.46	$299.31	$460.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $6,743.00 / $9,900.00	Facility		$1,471.00	$6,743.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $385.14 / $670.80	Professional		$248.48	$385.14	$670.80