Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.97 / $1,198.33 / $9,062.00	Facility		$112.97	$1,198.33	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $350.30 / $449.40 / $449.40	Facility	50	$350.30	$449.40	$449.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $112.97 / $404.53	Professional		$44.53	$112.97	$404.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.28 / $167.28 / $167.28	Professional	50	$167.28	$167.28	$167.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $83.48 / $778.57	Facility		$67.02	$83.48	$778.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $90.00 / $474.19	Professional		$45.26	$90.00	$474.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $222.45 / $572.45	Professional		$55.96	$222.45	$572.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $347.01 / $600.00	Facility		$64.75	$347.01	$600.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $126.86 / $822.00 / $992.40	Facility	50	$126.86	$822.00	$992.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $945.13 / $945.13 / $945.13	Professional		$945.13	$945.13	$945.13
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,417.70 / $1,417.70 / $1,417.70	Professional	50	$1,417.70	$1,417.70	$1,417.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.41 / $245.73 / $366.69	Professional		$180.41	$245.73	$366.69
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $350.29 / $635.91	Professional		$278.13	$350.29	$635.91