Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.75 / $2,957.66 / $5,597.95	Facility		$640.75	$2,957.66	$5,597.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $792.04 / $4,683.47 / $6,999.10	Facility	50	$792.04	$4,683.47	$6,999.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $380.95 / $1,052.83	Professional		$136.02	$380.95	$1,052.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,144.98 / $3,141.48	Facility		$966.64	$2,144.98	$3,141.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $461.34 / $784.87	Professional		$176.92	$461.34	$784.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $413.42 / $920.65	Professional		$181.64	$413.42	$920.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $670.42 / $1,326.74	Professional		$213.16	$670.42	$1,326.74
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 $180.01 / $191.11 / $629.91	Professional		$180.01	$191.11	$629.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $726.83	Professional		$32.34	$32.34	$726.83
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.19 / $871.01 / $1,327.21	Professional		$591.19	$871.01	$1,327.21