Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.03 / $2,755.00 / $5,580.00	Facility		$451.03	$2,755.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $387.48 / $823.51	Professional		$164.75	$387.48	$823.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.74 / $2,748.07 / $4,270.47	Facility		$1,835.74	$2,748.07	$4,270.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $467.60 / $815.60	Professional		$236.62	$467.60	$815.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $469.12 / $838.04	Professional		$213.84	$469.12	$838.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $682.37 / $2,582.92	Professional		$265.33	$682.37	$2,582.92
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 $234.87 / $245.32 / $612.04	Professional		$234.87	$245.32	$612.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $692.09	Professional		$32.34	$32.34	$692.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,975.00 / $6,625.00	Facility		$1,400.00	$3,975.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.81 / $721.41 / $1,134.13	Professional		$482.81	$721.41	$1,134.13