Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.33 / $1,813.95 / $5,483.00	Facility		$266.33	$1,813.95	$5,483.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $262.91 / $2,832.50 / $10,435.00	Facility	50	$262.91	$2,832.50	$10,435.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $180.13 / $323.93	Professional		$122.14	$180.13	$323.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.61 / $173.76 / $1,262.59	Professional	50	$55.61	$173.76	$1,262.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,372.85 / $3,765.06	Facility		$1,081.08	$2,372.85	$3,765.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $276.75 / $299.25	Professional		$191.97	$276.75	$299.25
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 $171.66 / $231.98 / $355.21	Professional		$171.66	$231.98	$355.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $271.52 / $1,038.48	Professional		$186.67	$271.52	$1,038.48
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 $187.21 / $201.05 / $220.61	Professional		$187.21	$201.05	$220.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $254.55	Professional		$32.34	$32.34	$254.55
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 $167.83 / $236.54 / $410.19	Professional		$167.83	$236.54	$410.19