Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.65 / $5,820.97 / $9,771.36	Facility		$485.65	$5,820.97	$9,771.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,871.46 / $1,871.46 / $1,871.46	Facility	50	$1,871.46	$1,871.46	$1,871.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.18 / $465.64 / $549.82	Professional		$323.18	$465.64	$549.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $924.04 / $3,122.29 / $6,388.74	Facility		$924.04	$3,122.29	$6,388.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.83 / $541.00 / $768.37	Professional		$374.83	$541.00	$768.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,677.54	Facility		$505.00	$505.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.07 / $503.31 / $987.12	Professional		$361.07	$503.31	$987.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $509.93 / $781.62	Facility		$375.00	$509.93	$781.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $562.50 / $763.83 / $1,176.71	Facility	50	$562.50	$763.83	$1,176.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $1,376.31	Professional		$660.00	$660.00	$1,376.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $290.63 / $463.36	Professional		$69.42	$290.63	$463.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $10,257.00 / $16,249.00	Facility		$1,258.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.63 / $453.29 / $762.71	Professional		$362.63	$453.29	$762.71