Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.33 / $2,232.00 / $5,405.00	Facility		$268.33	$2,232.00	$5,405.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,387.10 / $1,387.10 / $3,270.00	Facility	50	$1,387.10	$1,387.10	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $1,411.52 / $3,450.47	Professional		$141.09	$1,411.52	$3,450.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,468.23 / $3,186.73 / $11,762.27	Facility		$1,468.23	$3,186.73	$11,762.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.38 / $706.15 / $2,685.17	Professional		$173.38	$706.15	$2,685.17
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 $181.80 / $423.43 / $3,688.82	Professional		$181.80	$423.43	$3,688.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.78 / $2,123.17 / $7,212.08	Professional		$202.78	$2,123.17	$7,212.08
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 $168.78 / $181.81 / $2,018.90	Professional		$168.78	$181.81	$2,018.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,329.50	Professional		$32.34	$32.34	$2,329.50
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 $1,902.92 / $3,274.12 / $5,667.64	Professional		$1,902.92	$3,274.12	$5,667.64