Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.90 / $1,176.70 / $7,799.00	Facility		$222.90	$1,176.70	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,937.60 / $2,937.60 / $2,937.60	Facility	50	$2,937.60	$2,937.60	$2,937.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $195.33 / $305.10	Professional		$115.94	$195.33	$305.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.15 / $640.58 / $1,305.59	Professional	50	$171.15	$640.58	$1,305.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $907.99 / $1,716.07 / $2,885.46	Facility		$907.99	$1,716.07	$2,885.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $217.20 / $347.58	Professional		$116.30	$217.20	$347.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $278.18 / $580.00	Facility		$203.89	$278.18	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $223.77 / $409.49	Professional		$127.43	$223.77	$409.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $271.99 / $397.00	Facility		$138.85	$271.99	$397.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $254.00 / $413.72 / $609.90	Facility	50	$254.00	$413.72	$609.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $286.45 / $286.45	Professional		$286.45	$286.45	$286.45
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $429.69 / $429.69 / $429.69	Professional	50	$429.69	$429.69	$429.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $205.33 / $354.39	Professional		$31.57	$205.33	$354.39
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 $150.65 / $254.43 / $583.45	Professional		$150.65	$254.43	$583.45