Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,326.00 / $5,430.00	Facility		$349.00	$1,326.00	$5,430.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $726.16 / $2,514.96 / $5,092.25	Facility	50	$726.16	$2,514.96	$5,092.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.92 / $377.12 / $747.88	Professional		$183.92	$377.12	$747.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $638.58 / $1,997.78	Professional	50	$345.12	$638.58	$1,997.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.37 / $2,748.07 / $4,199.83	Facility		$1,805.37	$2,748.07	$4,199.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.55 / $438.44 / $753.98	Professional		$230.55	$438.44	$753.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,799.73 / $2,009.18	Facility		$875.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.70 / $433.68 / $760.92	Professional		$228.70	$433.68	$760.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.47 / $612.49 / $1,684.93	Professional		$268.47	$612.49	$1,684.93
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 $230.31 / $239.49 / $564.80	Professional		$230.31	$239.49	$564.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $638.66	Professional		$32.34	$32.34	$638.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $611.71 / $893.08	Professional		$387.37	$611.71	$893.08