Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,548.82 / $5,623.41	Facility		$660.69	$1,548.82	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,548.82	Professional		$575.44	$794.33	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $2,290.87 / $2,398.83	Professional	50	$1,148.15	$2,290.87	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $12,882.50	Facility		$1,288.25	$1,737.80	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,202.26	Professional		$676.08	$1,047.13	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,318.26	Professional		$616.60	$891.25	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $2,137.96	Professional		$562.34	$954.99	$2,137.96
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 $724.44 / $724.44 / $912.01	Professional		$724.44	$724.44	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,238.72 / $4,570.88	Facility		$812.83	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,318.26	Professional		$588.84	$776.25	$1,318.26