Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.05 / $1,476.41 / $13,219.96	Facility		$452.05	$1,476.41	$13,219.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,151.34 / $15,151.34 / $15,151.34	Facility	50	$15,151.34	$15,151.34	$15,151.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.41 / $543.74 / $1,172.56	Professional		$323.41	$543.74	$1,172.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,312.21 / $6,259.08 / $10,789.39	Facility		$2,312.21	$6,259.08	$10,789.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.77 / $663.00 / $1,070.89	Professional		$317.77	$663.00	$1,070.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.74 / $296.74 / $381.32	Facility		$296.74	$296.74	$381.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.99 / $742.25 / $1,293.22	Professional		$468.99	$742.25	$1,293.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $452.05 / $797.82 / $1,277.10	Facility		$452.05	$797.82	$1,277.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $701.46 / $1,353.00 / $1,802.93	Facility	50	$701.46	$1,353.00	$1,802.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $419.60 / $461.38	Professional		$262.54	$419.60	$461.38
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $629.40 / $692.07 / $692.07	Professional	50	$629.40	$692.07	$692.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $423.86 / $676.34	Professional		$67.53	$423.86	$676.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.59 / $751.71 / $1,427.32	Professional		$501.59	$751.71	$1,427.32