Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.96 / $1,732.85 / $16,467.00	Facility		$166.96	$1,732.85	$16,467.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.60 / $7,585.60 / $7,585.60	Facility	50	$7,585.60	$7,585.60	$7,585.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $166.96 / $392.48	Professional		$139.68	$166.96	$392.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,669.46 / $3,953.31 / $6,758.10	Facility		$1,669.46	$3,953.31	$6,758.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $168.22 / $265.02	Professional		$139.79	$168.22	$265.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $1,774.26 / $2,279.96	Facility		$580.00	$1,774.26	$2,279.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $198.99 / $389.53	Professional		$161.03	$198.99	$389.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.77 / $203.48 / $321.82	Facility		$143.77	$203.48	$321.82
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $255.00 / $309.00 / $405.08	Facility	50	$255.00	$309.00	$405.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $705.80 / $1,569.80 / $1,747.48	Professional		$705.80	$1,569.80	$1,747.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $153.69 / $245.55	Professional		$100.72	$153.69	$245.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $6,743.00 / $10,400.00	Facility		$1,471.00	$6,743.00	$10,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $199.83 / $398.46	Professional		$136.75	$199.83	$398.46