Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.51 / $2,157.00 / $5,405.00	Facility		$337.51	$2,157.00	$5,405.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.57 / $3,270.00 / $4,150.00	Facility	50	$676.57	$3,270.00	$4,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $1,447.41 / $3,831.30	Professional		$175.21	$1,447.41	$3,831.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $495.47 / $5,695.62 / $6,375.00	Professional	50	$495.47	$5,695.62	$6,375.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.41 / $3,977.17 / $11,762.27	Facility		$1,832.41	$3,977.17	$11,762.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $886.43 / $2,761.68	Professional		$217.80	$886.43	$2,761.68
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 $225.10 / $516.27 / $3,760.85	Professional		$225.10	$516.27	$3,760.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $2,183.66 / $7,368.47	Professional		$254.55	$2,183.66	$7,368.47
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 $210.94 / $228.22 / $2,075.54	Professional		$210.94	$228.22	$2,075.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,394.86	Professional		$32.34	$32.34	$2,394.86
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 $1,948.88 / $3,174.86 / $5,519.23	Professional		$1,948.88	$3,174.86	$5,519.23