Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $1,696.00 / $5,549.00	Facility		$287.95	$1,696.00	$5,549.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $460.00 / $2,596.50 / $10,435.00	Facility	50	$460.00	$2,596.50	$10,435.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $280.31 / $503.68	Professional		$156.80	$280.31	$503.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $412.37 / $603.98 / $957.03	Professional	50	$412.37	$603.98	$957.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,372.85 / $3,787.84	Facility		$1,081.08	$2,372.85	$3,787.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.47 / $310.63 / $480.14	Professional		$193.47	$310.63	$480.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $12,002.00 / $13,106.00	Facility		$620.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $300.64 / $488.80	Professional		$196.69	$300.64	$488.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.34 / $381.02 / $992.72	Professional		$222.34	$381.02	$992.72
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 $188.80 / $202.54 / $356.99	Professional		$188.80	$202.54	$356.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $411.92	Professional		$32.34	$32.34	$411.92
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.47 / $394.28 / $636.86	Professional		$264.47	$394.28	$636.86