Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.83 / $4,230.00 / $9,727.00	Facility		$573.83	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.90 / $573.83 / $731.46	Professional		$442.90	$573.83	$731.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.86 / $65.86 / $442.90	Professional	50	$65.86	$65.86	$442.90
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 $442.69 / $661.15 / $994.52	Professional		$442.69	$661.15	$994.52
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 $440.83 / $642.16 / $1,262.72	Professional		$440.83	$642.16	$1,262.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $487.19 / $662.98 / $983.03	Facility		$487.19	$662.98	$983.03
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $787.50 / $994.47 / $1,539.08	Facility	50	$787.50	$994.47	$1,539.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $1,376.31	Professional		$660.00	$660.00	$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 $69.42 / $387.94 / $641.59	Professional		$69.42	$387.94	$641.59
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 $458.76 / $592.95 / $961.70	Professional		$458.76	$592.95	$961.70