Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $3,776.00 / $9,727.00	Facility		$52.89	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $79.81 / $156.19	Professional		$43.85	$79.81	$156.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.13 / $199.13 / $199.13	Professional	50	$199.13	$199.13	$199.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.52 / $1,108.18 / $2,428.69	Facility		$533.52	$1,108.18	$2,428.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $126.22 / $206.00	Professional		$44.00	$126.22	$206.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $82.50 / $580.00	Facility		$76.73	$82.50	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $125.26 / $197.33	Professional		$77.42	$125.26	$197.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $118.98 / $212.27	Facility		$56.20	$118.98	$212.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $115.31 / $247.50 / $325.82	Facility	50	$115.31	$247.50	$325.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Professional		$86.21	$86.21	$86.21
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $129.31 / $129.31 / $129.31	Professional	50	$129.31	$129.31	$129.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.83 / $172.70	Professional		$82.31	$111.83	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $110.30 / $203.35	Professional		$58.30	$110.30	$203.35