Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.99 / $3,305.03 / $8,454.11	Facility		$264.99	$3,305.03	$8,454.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,400.00 / $4,852.18 / $9,610.70	Facility	50	$2,400.00	$4,852.18	$9,610.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $78.03 / $179.51 / $437.61	Facility	52	$78.03	$179.51	$437.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.21 / $71.81 / $175.04	Facility	53	$31.21	$71.81	$175.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.31 / $300.44 / $819.35	Professional		$147.31	$300.44	$819.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.25 / $452.43 / $1,334.30	Professional	50	$108.25	$452.43	$1,334.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,879.84 / $4,080.12 / $5,860.30	Facility		$1,879.84	$4,080.12	$5,860.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $396.79 / $801.41	Professional		$188.39	$396.79	$801.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $9,937.00 / $11,050.00	Facility		$620.00	$9,937.00	$11,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $361.99 / $777.04	Professional		$166.74	$361.99	$777.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.39 / $516.04 / $1,478.42	Professional		$213.39	$516.04	$1,478.42
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 $182.61 / $195.29 / $494.98	Professional		$182.61	$195.29	$494.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $571.13	Professional		$32.34	$32.34	$571.13
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 $467.36 / $688.37 / $1,203.08	Professional		$467.36	$688.37	$1,203.08