Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.63 / $1,193.03 / $8,921.48	Facility		$407.63	$1,193.03	$8,921.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $764.34 / $2,107.25 / $10,269.51	Facility	50	$764.34	$2,107.25	$10,269.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $385.83 / $724.16	Professional		$225.78	$385.83	$724.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.47 / $325.54 / $825.40	Professional	50	$128.47	$325.54	$825.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,478.78 / $5,380.08 / $11,762.27	Facility		$2,478.78	$5,380.08	$11,762.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $510.81 / $790.34	Professional		$292.20	$510.81	$790.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $12,002.00 / $13,106.00	Facility		$709.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $453.38 / $742.45	Professional		$284.14	$453.38	$742.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $335.82 / $614.14 / $1,671.88	Professional		$335.82	$614.14	$1,671.88
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 $284.62 / $307.02 / $587.04	Professional		$284.62	$307.02	$587.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $677.36	Professional		$32.34	$32.34	$677.36
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 $303.74 / $469.23 / $919.06	Professional		$303.74	$469.23	$919.06