Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.15 / $3,776.00 / $9,727.00	Facility		$96.15	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $195.57 / $263.06	Professional		$74.51	$195.57	$263.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $485.45 / $485.45 / $485.45	Professional	50	$485.45	$485.45	$485.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $780.00 / $1,729.83	Facility		$524.00	$780.00	$1,729.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $261.00 / $384.36	Professional		$80.28	$261.00	$384.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $607.82 / $890.00	Facility		$139.86	$607.82	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $212.13 / $418.34	Professional		$101.03	$212.13	$418.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.15 / $263.06 / $397.80	Facility		$96.15	$263.06	$397.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $218.09 / $419.25 / $596.70	Facility	50	$218.09	$419.25	$596.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $518.09 / $518.09	Professional		$518.09	$518.09	$518.09
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $777.13 / $777.13 / $777.13	Professional	50	$777.13	$777.13	$777.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $261.03 / $400.21	Professional		$192.04	$261.03	$400.21
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 $172.94 / $229.72 / $494.44	Professional		$172.94	$229.72	$494.44