Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.48 / $2,784.00 / $7,723.00	Facility		$542.48	$2,784.00	$7,723.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,588.00 / $8,945.52 / $10,687.50	Facility	50	$2,588.00	$8,945.52	$10,687.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.60 / $390.61 / $715.99	Professional		$304.60	$390.61	$715.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $470.86 / $600.09 / $1,233.09	Professional	50	$470.86	$600.09	$1,233.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,307.67 / $7,179.15 / $11,762.27	Facility		$3,307.67	$7,179.15	$11,762.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $559.47 / $607.15	Professional		$388.08	$559.47	$607.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $12,002.00 / $13,106.00	Facility		$996.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.29 / $502.04 / $781.87	Professional		$348.29	$502.04	$781.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $549.12 / $2,769.28	Professional		$345.40	$549.12	$2,769.28
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 $377.55 / $407.91 / $445.99	Professional		$377.55	$407.91	$445.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $514.61	Professional		$32.34	$32.34	$514.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,272.00 / $10,219.00	Facility		$1,152.00	$5,272.00	$10,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.99 / $522.48 / $815.54	Professional		$348.99	$522.48	$815.54