Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.99 / $1,020.00 / $4,244.42	Facility		$202.99	$1,020.00	$4,244.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $278.83 / $3,001.18 / $9,036.09	Facility	50	$278.83	$3,001.18	$9,036.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $333.87 / $577.58	Professional		$167.18	$333.87	$577.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.90 / $339.96 / $1,593.16	Professional	50	$79.90	$339.96	$1,593.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,823.85 / $3,876.24 / $5,510.44	Facility		$1,823.85	$3,876.24	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.27 / $335.97 / $536.90	Professional		$215.27	$335.97	$536.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $359.21 / $627.30	Professional		$215.80	$359.21	$627.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.39 / $436.32 / $1,537.95	Professional		$247.39	$436.32	$1,537.95
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 $209.94 / $225.72 / $398.81	Professional		$209.94	$225.72	$398.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $460.17	Professional		$32.34	$32.34	$460.17
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 $297.11 / $482.21 / $726.65	Professional		$297.11	$482.21	$726.65