Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.85 / $3,776.00 / $9,727.00	Facility		$747.85	$3,776.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $560.89 / $645.27 / $1,372.79	Facility	54	$560.89	$645.27	$1,372.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $717.53 / $979.41	Professional		$517.96	$717.53	$979.41
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $432.47 / $560.89 / $645.27	Professional	54	$432.47	$560.89	$645.27
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $86.49 / $112.18 / $129.05	Professional	55	$86.49	$112.18	$129.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.02 / $4,069.15 / $6,619.00	Facility		$2,153.02	$4,069.15	$6,619.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.44 / $661.80 / $1,115.26	Professional		$577.44	$661.80	$1,115.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $810.92	Facility		$375.00	$375.00	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $765.55 / $1,500.71	Professional		$542.16	$765.55	$1,500.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $547.00 / $747.85 / $1,209.44	Facility		$547.00	$747.85	$1,209.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $660.70	Professional		$493.00	$493.00	$660.70
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $991.04 / $991.04 / $991.04	Professional	50	$991.04	$991.04	$991.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $452.26 / $769.54	Professional		$69.42	$452.26	$769.54
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.38 / $700.50 / $1,139.36	Professional		$525.38	$700.50	$1,139.36