Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.83 / $1,163.00 / $5,389.00	Facility		$497.83	$1,163.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,271.64 / $5,140.00 / $7,650.22	Facility	50	$3,271.64	$5,140.00	$7,650.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.63 / $3,593.10 / $3,593.10	Professional	50	$239.63	$3,593.10	$3,593.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.85 / $3,546.70 / $7,734.04	Facility		$2,192.85	$3,546.70	$7,734.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $672.14 / $1,991.69	Professional		$423.60	$672.14	$1,991.69
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00