Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $4,897.79 / $16,595.87	Facility		$165.96	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $239.88	Professional		$104.71	$144.54	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $223.87 / $1,096.48	Professional	50	$162.18	$223.87	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $912.01	Facility		$288.40	$501.19	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $218.78	Professional		$89.13	$125.89	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $288.40	Professional		$97.72	$144.54	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $302.00	Facility		$102.33	$147.91	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $194.98	Professional		$95.50	$125.89	$194.98