Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,089.30 / $5,888.44	Facility		$724.44	$2,089.30	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	50	$6,025.60	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,230.27	Professional		$416.87	$549.54	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,786.30 / $9,332.54	Facility		$2,290.87	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $851.14	Professional		$549.54	$794.33	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $912.01	Professional		$389.05	$630.96	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,412.54	Professional		$436.52	$724.44	$1,412.54
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 $549.54 / $562.34 / $630.96	Professional		$549.54	$562.34	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $954.99	Professional		$426.58	$549.54	$954.99