Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $367.33 / $9,062.00	Facility		$64.39	$367.33	$9,062.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,347.58 / $9,499.34 / $9,499.35	Facility	50	$7,347.58	$9,499.34	$9,499.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $96.49 / $164.50	Professional		$53.14	$96.49	$164.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $96.59 / $96.59 / $1,746.00	Professional	50	$96.59	$96.59	$1,746.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,652.14 / $2,859.97	Facility		$780.00	$1,652.14	$2,859.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $115.00 / $190.38	Professional		$53.70	$115.00	$190.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $375.00 / $781.44	Facility		$93.73	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $140.44 / $232.01	Professional		$84.64	$140.44	$232.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $139.91 / $250.66	Facility		$68.41	$139.91	$250.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $138.75 / $272.25 / $377.95	Facility	50	$138.75	$272.25	$377.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional	50	$1,007.42	$1,007.42	$1,007.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
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 $74.20 / $133.91 / $250.74	Professional		$74.20	$133.91	$250.74