Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.65 / $1,289.00 / $5,091.00	Facility		$217.65	$1,289.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $930.00 / $930.00 / $930.00	Facility	50	$930.00	$930.00	$930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $177.99 / $325.45	Professional		$70.02	$177.99	$325.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $220.42 / $549.86	Professional	50	$220.42	$220.42	$549.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.58 / $1,003.36 / $1,797.26	Facility		$772.58	$1,003.36	$1,797.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $237.48 / $391.74	Professional		$99.06	$237.48	$391.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.35 / $807.53 / $908.00	Facility		$723.35	$807.53	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $183.60 / $391.49	Professional		$89.19	$183.60	$391.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $327.74 / $1,020.83	Professional		$115.34	$327.74	$1,020.83
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 $97.80 / $102.92 / $294.33	Professional		$97.80	$102.92	$294.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $332.82	Professional		$32.34	$32.34	$332.82
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.03 / $284.27 / $441.56	Professional		$194.03	$284.27	$441.56