Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.04 / $1,305.00 / $5,389.00	Facility		$336.04	$1,305.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,643.08 / $7,643.08 / $7,643.08	Facility	50	$7,643.08	$7,643.08	$7,643.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $455.74 / $871.85	Professional		$162.30	$455.74	$871.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.99 / $3,993.61 / $6,264.66	Facility		$1,839.99	$3,993.61	$6,264.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.51 / $527.79 / $902.85	Professional		$217.51	$527.79	$902.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $455.30 / $906.36	Professional		$221.13	$455.30	$906.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.37 / $707.20 / $1,626.26	Professional		$254.37	$707.20	$1,626.26
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 $212.38 / $228.06 / $674.56	Professional		$212.38	$228.06	$674.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $778.34	Professional		$32.34	$32.34	$778.34
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 $516.40 / $750.52 / $1,172.47	Professional		$516.40	$750.52	$1,172.47