Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.50 / $2,263.80 / $12,828.85	Facility		$537.50	$2,263.80	$12,828.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,785.57 / $1,785.57 / $1,785.57	Facility	50	$1,785.57	$1,785.57	$1,785.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $537.50 / $1,005.17	Professional		$385.57	$537.50	$1,005.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,442.81 / $5,388.82 / $9,359.78	Facility		$2,442.81	$5,388.82	$9,359.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.11 / $688.51 / $943.93	Professional		$511.11	$688.51	$943.93
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 $457.07 / $717.44 / $1,015.95	Professional		$457.07	$717.44	$1,015.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.77 / $796.90 / $1,867.09	Professional		$506.77	$796.90	$1,867.09
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 $487.55 / $535.30 / $731.71	Professional		$487.55	$535.30	$731.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $844.28	Professional		$32.34	$32.34	$844.28
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.25 / $724.78 / $1,159.46	Professional		$508.25	$724.78	$1,159.46