Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $1,476.00 / $5,389.00	Facility		$688.00	$1,476.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,457.98 / $4,819.60 / $16,913.08	Facility	50	$1,457.98	$4,819.60	$16,913.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $525.63 / $990.51	Professional		$420.77	$525.63	$990.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,914.91 / $5,923.36 / $11,168.65	Facility		$2,914.91	$5,923.36	$11,168.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.28 / $802.77 / $969.54	Professional		$673.28	$802.77	$969.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $11,310.00 / $14,224.00	Facility		$463.00	$11,310.00	$14,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.24 / $811.46 / $1,087.03	Professional		$481.24	$811.46	$1,087.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.86 / $893.10 / $2,435.98	Professional		$562.86	$893.10	$2,435.98
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 $656.16 / $703.65 / $781.40	Professional		$656.16	$703.65	$781.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $901.62	Professional		$32.34	$32.34	$901.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,272.00 / $9,441.00	Facility		$1,152.00	$5,272.00	$9,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.37 / $684.78 / $1,101.34	Professional		$478.37	$684.78	$1,101.34