Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.58 / $2,181.00 / $7,123.00	Facility		$561.58	$2,181.00	$7,123.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,487.50 / $5,897.54 / $12,235.71	Facility	50	$3,487.50	$5,897.54	$12,235.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $561.58 / $1,154.61	Professional		$472.94	$561.58	$1,154.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $397.85 / $918.36 / $4,838.22	Professional	50	$397.85	$918.36	$4,838.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,421.67 / $4,844.78 / $10,567.08	Facility		$2,421.67	$4,844.78	$10,567.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.51 / $842.64 / $1,033.34	Professional		$628.51	$842.64	$1,033.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.26 / $755.71 / $1,122.86	Professional		$546.26	$755.71	$1,122.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $576.89 / $906.09 / $2,347.94	Professional		$576.89	$906.09	$2,347.94
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $659.71 / $669.05 / $820.22	Professional		$659.71	$669.05	$820.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $946.41	Professional		$32.34	$32.34	$946.41
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
United Facility/Professional Professional Modifier Low / Median / High Price $534.99 / $756.87 / $1,307.50	Professional		$534.99	$756.87	$1,307.50