Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $761.59 / $9,062.00	Facility		$65.90	$761.59	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $86.43 / $160.90	Professional		$55.28	$86.43	$160.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $195.60 / $195.60 / $195.60	Professional	50	$195.60	$195.60	$195.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.15 / $984.25 / $1,768.21	Facility		$504.15	$984.25	$1,768.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $115.00 / $187.19	Professional		$54.31	$115.00	$187.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $94.98 / $580.00	Facility		$71.40	$94.98	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $131.68 / $222.93	Professional		$79.14	$131.68	$222.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $125.43 / $224.00	Facility		$65.90	$125.43	$224.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $122.96 / $245.76 / $378.21	Facility	50	$122.96	$245.76	$378.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $76.39 / $76.39	Professional		$76.39	$76.39	$76.39
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $114.58 / $114.58 / $114.58	Professional	50	$114.58	$114.58	$114.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $120.48 / $225.81	Professional		$69.87	$120.48	$225.81