Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.01 / $1,078.00 / $4,306.29	Facility		$354.01	$1,078.00	$4,306.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,057.64 / $6,912.54 / $8,352.99	Facility	50	$6,057.64	$6,912.54	$8,352.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.63 / $335.11 / $545.65	Professional		$214.63	$335.11	$545.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Professional	50	$1,964.43	$1,964.43	$1,964.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.33 / $2,989.47 / $6,288.86	Facility		$1,641.33	$2,989.47	$6,288.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $465.35 / $679.38	Professional		$253.60	$465.35	$679.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.42 / $370.83 / $573.98	Professional		$240.42	$370.83	$573.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.92 / $442.03 / $952.32	Professional		$258.92	$442.03	$952.32
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 $234.14 / $257.83 / $419.20	Professional		$234.14	$257.83	$419.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $474.02	Professional		$32.34	$32.34	$474.02
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $2,465.00 / $4,780.00	Facility		$897.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.36 / $431.11 / $776.27	Professional		$320.36	$431.11	$776.27