Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $1,763.08 / $5,091.00	Facility		$276.14	$1,763.08	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $809.31 / $1,646.03	Professional		$137.06	$809.31	$1,646.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,753.55 / $2,753.55 / $2,753.55	Professional	50	$2,753.55	$2,753.55	$2,753.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.02 / $2,322.19 / $3,536.35	Facility		$1,063.02	$2,322.19	$3,536.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $476.43 / $1,557.75	Professional		$179.75	$476.43	$1,557.75
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 $182.74 / $687.42 / $1,601.06	Professional		$182.74	$687.42	$1,601.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $1,231.71 / $2,859.16	Professional		$210.00	$1,231.71	$2,859.16
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 $175.60 / $188.28 / $1,169.31	Professional		$175.60	$188.28	$1,169.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,349.21	Professional		$32.34	$32.34	$1,349.21
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.64 / $1,435.27 / $2,242.17	Professional		$1,026.64	$1,435.27	$2,242.17