Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.29 / $2,136.19 / $5,405.00	Facility		$295.29	$2,136.19	$5,405.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $50.73 / $2,416.44 / $5,483.00	Facility	50	$50.73	$2,416.44	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $1,424.13 / $2,853.20	Professional		$151.56	$1,424.13	$2,853.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $398.92 / $1,875.28 / $5,208.32	Professional	50	$398.92	$1,875.28	$5,208.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,604.86 / $3,681.28 / $11,762.27	Facility		$1,604.86	$3,681.28	$11,762.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $774.75 / $2,712.03	Professional		$190.04	$774.75	$2,712.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,002.00 / $13,106.00	Facility		$875.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $432.78 / $2,815.12	Professional		$197.57	$432.78	$2,815.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.47 / $2,144.42 / $5,148.99	Professional		$222.47	$2,144.42	$5,148.99
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 $185.37 / $199.46 / $2,038.48	Professional		$185.37	$199.46	$2,038.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,352.09	Professional		$32.34	$32.34	$2,352.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,932.24 / $2,935.48 / $4,323.46	Professional		$1,932.24	$2,935.48	$4,323.46