Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.97 / $3,221.00 / $6,686.25	Facility		$479.97	$3,221.00	$6,686.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $796.61 / $796.61 / $796.61	Facility	50	$796.61	$796.61	$796.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.36 / $2,679.05 / $4,634.74	Professional		$231.36	$2,679.05	$4,634.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,896.19 / $8,671.32	Professional	50	$5,615.42	$5,896.19	$8,671.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,620.58 / $5,687.86 / $11,762.27	Facility		$2,620.58	$5,687.86	$11,762.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $1,251.75 / $5,085.63	Professional		$306.64	$1,251.75	$5,085.63
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 $298.36 / $2,278.63 / $5,235.25	Professional		$298.36	$2,278.63	$5,235.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $347.06 / $4,021.22 / $12,058.84	Professional		$347.06	$4,021.22	$12,058.84
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 $298.74 / $322.27 / $3,823.50	Professional		$298.74	$322.27	$3,823.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,411.72	Professional		$32.34	$32.34	$4,411.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,272.00 / $10,219.00	Facility		$1,400.00	$5,272.00	$10,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,651.02 / $5,121.27 / $7,837.96	Professional		$3,651.02	$5,121.27	$7,837.96