Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $4,230.00 / $9,870.00	Facility		$96.53	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $178.61 / $255.49	Professional		$81.18	$178.61	$255.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $196.95 / $245.42	Professional		$76.76	$196.95	$245.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $607.82 / $890.00	Facility		$140.37	$607.82	$890.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $214.23 / $419.18	Professional		$103.99	$214.23	$419.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $255.49 / $386.34	Facility		$96.53	$255.49	$386.34
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $218.96 / $423.38 / $579.51	Facility	50	$218.96	$423.38	$579.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.54 / $275.54 / $275.54	Professional		$275.54	$275.54	$275.54
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $413.31 / $413.31 / $413.31	Professional	50	$413.31	$413.31	$413.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $260.06 / $400.21	Professional		$192.04	$260.06	$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 $174.67 / $231.99 / $499.32	Professional		$174.67	$231.99	$499.32