Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $211.37 / $16,467.00	Facility		$97.74	$211.37	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $102.25 / $155.03	Professional		$85.07	$102.25	$155.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $189.74 / $189.74 / $189.74	Professional	50	$189.74	$189.74	$189.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $258.57 / $420.13	Facility		$125.94	$258.57	$420.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $86.05 / $173.81	Professional		$65.00	$86.05	$173.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $120.73 / $223.12	Professional		$90.78	$120.73	$223.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $108.00 / $227.72	Facility		$71.00	$108.00	$227.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $106.50 / $162.00 / $341.58	Facility	50	$106.50	$162.00	$341.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $103.50 / $131.85	Professional		$79.45	$103.50	$131.85
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 $81.63 / $99.38 / $180.31	Professional		$81.63	$99.38	$180.31