Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $5,192.00 / $9,062.00	Facility		$149.44	$5,192.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $211.57 / $375.13	Professional		$132.88	$211.57	$375.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,274.73 / $4,190.50 / $6,811.41	Facility		$2,274.73	$4,190.50	$6,811.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $150.91 / $254.25	Professional		$111.00	$150.91	$254.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.31 / $196.31 / $252.27	Facility		$196.31	$196.31	$252.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $242.32 / $418.18	Professional		$145.46	$242.32	$418.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $243.73 / $385.97	Facility		$132.88	$243.73	$385.97
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $269.64 / $409.50 / $578.95	Facility	50	$269.64	$409.50	$578.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $194.33 / $264.08	Professional		$173.69	$194.33	$264.08
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $291.50 / $291.50 / $396.11	Professional	50	$291.50	$291.50	$396.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $206.55 / $320.88	Professional		$151.13	$206.55	$320.88
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 $199.78 / $284.75 / $559.48	Professional		$199.78	$284.75	$559.48