Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.41 / $1,609.00 / $6,940.13	Facility		$520.41	$1,609.00	$6,940.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,104.44 / $7,710.00 / $7,710.00	Facility	50	$2,104.44	$7,710.00	$7,710.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $611.76 / $1,359.60	Professional		$277.14	$611.76	$1,359.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $613.46 / $1,419.14 / $2,384.33	Professional	50	$613.46	$1,419.14	$2,384.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,934.62 / $6,502.86 / $11,151.31	Facility		$2,934.62	$6,502.86	$11,151.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $762.84 / $1,258.38	Professional		$372.32	$762.84	$1,258.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,082.00 / $10,223.00	Facility		$709.00	$3,082.00	$10,223.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.26 / $743.40 / $1,330.37	Professional		$353.26	$743.40	$1,330.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.69 / $1,020.35 / $3,052.55	Professional		$425.69	$1,020.35	$3,052.55
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 $356.68 / $382.93 / $947.47	Professional		$356.68	$382.93	$947.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,071.36	Professional		$32.34	$32.34	$1,071.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.88 / $1,133.34 / $1,849.70	Professional		$703.88	$1,133.34	$1,849.70