Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $3,776.00 / $9,727.00	Facility		$59.13	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $74.48 / $111.61	Professional		$50.42	$74.48	$111.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.34 / $70.34 / $70.34	Professional	50	$70.34	$70.34	$70.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.66 / $793.85 / $1,276.18	Facility		$411.66	$793.85	$1,276.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $61.00 / $124.00	Professional		$45.16	$61.00	$124.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $38.08 / $38.08	Facility		$38.08	$38.08	$38.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $84.73 / $143.54	Professional		$56.97	$84.73	$143.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $67.92 / $140.15	Facility		$48.13	$67.92	$140.15
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $72.20 / $102.00 / $280.48	Facility	50	$72.20	$102.00	$280.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $38.19 / $38.19	Professional		$38.19	$38.19	$38.19
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $57.28 / $57.28 / $57.28	Professional	50	$57.28	$57.28	$57.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $69.42 / $86.59	Professional		$53.47	$69.42	$86.59
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $75.36 / $144.04	Professional		$56.83	$75.36	$144.04