Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.01 / $1,694.00 / $4,121.00	Facility		$504.01	$1,694.00	$4,121.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,807.92 / $11,807.92 / $11,807.92	Facility	50	$11,807.92	$11,807.92	$11,807.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $1,126.85 / $1,982.27	Professional		$295.39	$1,126.85	$1,982.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $163.47 / $163.47 / $463.44	Professional	50	$163.47	$163.47	$463.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,573.94 / $4,429.37 / $6,102.69	Facility		$2,573.94	$4,429.37	$6,102.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $1,217.91 / $1,884.09	Professional		$357.00	$1,217.91	$1,884.09
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 $315.27 / $979.10 / $2,243.28	Professional		$315.27	$979.10	$2,243.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.84 / $1,739.70 / $2,941.25	Professional		$411.84	$1,739.70	$2,941.25
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 $315.38 / $369.24 / $1,585.71	Professional		$315.38	$369.24	$1,585.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,793.08	Professional		$32.34	$32.34	$1,793.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,247.00 / $8,995.00	Facility		$1,600.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.99 / $1,976.85 / $2,889.12	Professional		$1,282.99	$1,976.85	$2,889.12