Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.90 / $947.72 / $4,500.00	Facility		$154.90	$947.72	$4,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,732.79 / $4,047.36 / $5,483.00	Facility	50	$1,732.79	$4,047.36	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $192.96 / $861.55	Professional		$99.15	$192.96	$861.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $249.86 / $287.57 / $337.85	Professional	50	$249.86	$287.57	$337.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,194.35 / $2,448.44 / $3,596.65	Facility		$1,194.35	$2,448.44	$3,596.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $349.42 / $1,112.09	Professional		$117.80	$349.42	$1,112.09
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 $117.96 / $254.73 / $950.85	Professional		$117.96	$254.73	$950.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $716.90 / $1,329.00	Professional		$137.88	$716.90	$1,329.00
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 $116.87 / $123.03 / $741.48	Professional		$116.87	$123.03	$741.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $855.56	Professional		$32.34	$32.34	$855.56
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.20 / $754.70 / $1,369.22	Professional		$533.20	$754.70	$1,369.22