Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.70 / $1,229.31 / $16,467.00	Facility		$385.70	$1,229.31	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $385.70 / $597.69	Professional		$292.08	$385.70	$597.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $179.90 / $179.90 / $232.03	Professional	50	$179.90	$179.90	$232.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,483.92 / $4,694.54 / $7,666.70	Facility		$2,483.92	$4,694.54	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.97 / $409.88 / $659.91	Professional		$298.97	$409.88	$659.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $1,677.54	Facility		$580.00	$580.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $472.49 / $864.03	Professional		$265.00	$472.49	$864.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.41 / $459.00 / $744.00	Facility		$296.41	$459.00	$744.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $609.00 / $688.50 / $1,201.83	Facility	50	$609.00	$688.50	$1,201.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $755.00 / $1,376.31	Professional		$755.00	$755.00	$1,376.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,064.46 / $2,064.46 / $2,064.46	Professional	50	$2,064.46	$2,064.46	$2,064.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $290.43 / $476.32	Professional		$33.96	$290.43	$476.32
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 $338.63 / $458.74 / $820.90	Professional		$338.63	$458.74	$820.90