Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $1,289.00 / $5,389.00	Facility		$211.34	$1,289.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,758.77 / $1,758.77 / $1,758.77	Facility	50	$1,758.77	$1,758.77	$1,758.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $181.36 / $336.82	Professional		$72.26	$181.36	$336.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.45 / $79.45 / $79.45	Professional	50	$79.45	$79.45	$79.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.72 / $1,007.44 / $1,804.57	Facility		$775.72	$1,007.44	$1,804.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $217.24 / $381.59	Professional		$99.44	$217.24	$381.59
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 $90.52 / $186.11 / $385.10	Professional		$90.52	$186.11	$385.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $319.25 / $887.06	Professional		$115.79	$319.25	$887.06
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 $98.20 / $103.31 / $286.58	Professional		$98.20	$103.31	$286.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $324.06	Professional		$32.34	$32.34	$324.06
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 $195.38 / $292.45 / $448.98	Professional		$195.38	$292.45	$448.98