Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.69 / $2,372.51 / $6,180.00	Facility		$779.69	$2,372.51	$6,180.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,145.93 / $3,359.20 / $8,327.66	Facility	50	$3,145.93	$3,359.20	$8,327.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.19 / $753.54 / $1,444.01	Professional		$576.19	$753.54	$1,444.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $306.18 / $2,037.06 / $2,037.06	Professional	50	$306.18	$2,037.06	$2,037.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.73 / $6,761.39 / $13,551.16	Facility		$3,536.73	$6,761.39	$13,551.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.84 / $1,117.09 / $1,423.19	Professional		$815.84	$1,117.09	$1,423.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,310.00 / $14,224.00	Facility		$875.00	$11,310.00	$14,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.60 / $1,125.09 / $1,572.13	Professional		$740.60	$1,125.09	$1,572.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $803.52 / $1,249.40 / $3,499.67	Professional		$803.52	$1,249.40	$3,499.67
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 $796.69 / $853.41 / $1,148.19	Professional		$796.69	$853.41	$1,148.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,324.83	Professional		$32.34	$32.34	$1,324.83
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.70 / $1,147.69 / $1,805.27	Professional		$838.70	$1,147.69	$1,805.27