Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $3,776.00 / $9,727.00	Facility		$52.98	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $111.81 / $201.03	Professional		$36.99	$111.81	$201.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $226.64 / $226.64 / $301.55	Professional	50	$226.64	$226.64	$301.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $244.24 / $428.10	Facility		$118.23	$244.24	$428.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $89.79 / $147.75	Professional		$37.04	$89.79	$147.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $104.95 / $134.86	Facility		$104.95	$104.95	$134.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $114.77 / $218.01	Professional		$55.08	$114.77	$218.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $134.01 / $230.74	Facility		$54.54	$134.01	$230.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $92.85 / $139.13	Professional		$65.80	$92.85	$139.13
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $98.70 / $98.70 / $208.71	Professional	50	$98.70	$98.70	$208.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $149.06 / $224.26	Professional		$118.03	$149.06	$224.26
United Facility/Professional Facility Modifier Low / Median / High Price $294.06 / $1,122.00 / $3,585.00	Facility		$294.06	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $169.39 / $295.97	Professional		$106.29	$169.39	$295.97