Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.05 / $6,614.00 / $15,045.68	Facility		$1,171.05	$6,614.00	$15,045.68
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,843.00 / $7,843.00 / $7,843.00	Facility	22	$7,843.00	$7,843.00	$7,843.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,000.00 / $9,384.70 / $14,752.19	Facility	50	$6,000.00	$9,384.70	$14,752.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $560.64 / $1,214.73	Professional		$415.50	$560.64	$1,214.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $7,020.25 / $11,643.55	Facility		$3,441.42	$7,020.25	$11,643.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.42 / $806.43 / $951.55	Professional		$501.42	$806.43	$951.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,146.00 / $12,155.00	Facility		$875.00	$12,146.00	$12,155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.03 / $586.91 / $854.95	Professional		$445.03	$586.91	$854.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $441.02 / $695.60 / $2,273.64	Professional		$441.02	$695.60	$2,273.64
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 $484.72 / $521.21 / $565.17	Professional		$484.72	$521.21	$565.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $652.13	Professional		$32.34	$32.34	$652.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.03 / $629.22 / $939.21	Professional		$445.03	$629.22	$939.21