Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $320.01 / $9,062.00	Facility		$108.20	$320.01	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $120.81 / $204.36	Professional		$82.17	$120.81	$204.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.41 / $112.41 / $221.07	Professional	50	$112.41	$112.41	$221.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.90 / $1,023.15 / $1,827.97	Facility		$503.90	$1,023.15	$1,827.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $109.81 / $182.15	Professional		$78.51	$109.81	$182.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.31 / $82.31 / $105.77	Facility		$82.31	$82.31	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $151.03 / $252.50	Professional		$95.56	$151.03	$252.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $152.00 / $217.15	Facility		$103.32	$152.00	$217.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $72.81 / $106.94	Professional		$69.37	$72.81	$106.94
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $104.06 / $104.06 / $160.41	Professional	50	$104.06	$104.06	$160.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $162.32 / $308.23	Professional		$112.55	$162.32	$308.23