Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.30 / $1,272.00 / $5,389.00	Facility		$281.30	$1,272.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,500.56 / $3,906.56 / $10,657.27	Facility	50	$2,500.56	$3,906.56	$10,657.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.53 / $281.30 / $470.48	Professional		$166.53	$281.30	$470.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $244.56 / $472.71 / $501.02	Professional	50	$244.56	$472.71	$501.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,381.78 / $3,950.35	Facility		$1,081.08	$2,381.78	$3,950.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $313.66 / $467.78	Professional		$200.88	$313.66	$467.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $12,002.00 / $13,106.00	Facility		$463.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.22 / $313.39 / $507.15	Professional		$204.22	$313.39	$507.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $373.69 / $1,025.29	Professional		$230.85	$373.69	$1,025.29
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 $197.11 / $210.73 / $347.00	Professional		$197.11	$210.73	$347.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $400.38	Professional		$32.34	$32.34	$400.38
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 $261.64 / $402.51 / $630.30	Professional		$261.64	$402.51	$630.30