Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $1,305.00 / $5,091.00	Facility		$276.14	$1,305.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,562.36 / $3,562.36 / $3,562.36	Facility	50	$3,562.36	$3,562.36	$3,562.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $264.87 / $471.70	Professional		$141.88	$264.87	$471.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $1,051.77 / $1,051.77	Professional	50	$459.93	$1,051.77	$1,051.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $921.01 / $2,317.30 / $3,528.90	Facility		$921.01	$2,317.30	$3,528.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $299.48 / $512.28	Professional		$178.64	$299.48	$512.28
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 $181.61 / $307.92 / $510.96	Professional		$181.61	$307.92	$510.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $410.36 / $1,027.35	Professional		$208.93	$410.36	$1,027.35
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 $175.06 / $187.32 / $381.24	Professional		$175.06	$187.32	$381.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $439.89	Professional		$32.34	$32.34	$439.89
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,664.00 / $5,026.00	Facility		$815.00	$2,664.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.38 / $412.88 / $625.60	Professional		$276.38	$412.88	$625.60