Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $8,317.64	Facility		$1,148.15	$2,884.03	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $954.99 / $16,218.10	Facility	50	$933.25	$954.99	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $3,090.30	Professional		$891.25	$1,445.44	$3,090.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,479.11 / $6,918.31	Professional	50	$1,230.27	$1,479.11	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $21,877.62	Facility		$5,011.87	$6,165.95	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,778.28	Professional		$1,148.15	$1,621.81	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,995.26	Professional		$954.99	$1,348.96	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $4,677.35	Professional		$831.76	$1,513.56	$4,677.35
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 $1,230.27 / $1,230.27 / $1,348.96	Professional		$1,230.27	$1,230.27	$1,348.96
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 $1,584.89 / $4,365.16 / $9,332.54	Facility		$1,584.89	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,949.84	Professional		$891.25	$1,174.90	$1,949.84