Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.88 / $1,835.30 / $5,549.00	Facility		$347.88	$1,835.30	$5,549.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.43 / $342.47 / $620.87	Facility	52	$105.43	$342.47	$620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $419.61 / $919.81	Professional		$181.21	$419.61	$919.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.81 / $209.81 / $479.22	Professional	52	$97.81	$209.81	$479.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,386.38 / $4,148.02 / $5,807.40	Facility		$1,386.38	$4,148.02	$5,807.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.52 / $498.28 / $1,211.84	Professional		$215.52	$498.28	$1,211.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $435.25 / $1,078.75	Professional		$215.86	$435.25	$1,078.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $242.94 / $778.47 / $1,561.79	Professional		$242.94	$778.47	$1,561.79
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 $209.52 / $225.59 / $747.75	Professional		$209.52	$225.59	$747.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $845.53	Professional		$32.34	$32.34	$845.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.86 / $904.02 / $1,553.41	Professional		$622.86	$904.02	$1,553.41