Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.33 / $2,265.00 / $5,549.00	Facility		$1,154.33	$2,265.00	$5,549.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $940.50 / $948.00 / $16,221.43	Facility	50	$940.50	$948.00	$16,221.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.67 / $1,154.33 / $1,973.90	Professional		$817.67	$1,154.33	$1,973.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,992.33 / $10,874.59 / $23,718.87	Facility		$4,992.33	$10,874.59	$23,718.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.83 / $1,639.53 / $1,786.96	Professional		$1,156.83	$1,639.53	$1,786.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.18 / $1,321.96 / $1,962.28	Professional		$950.18	$1,321.96	$1,962.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $911.66 / $1,519.67 / $4,264.85	Professional		$911.66	$1,519.67	$4,264.85
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 $1,225.68 / $1,229.63 / $1,342.61	Professional		$1,225.68	$1,229.63	$1,342.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,518.19	Professional		$32.34	$32.34	$1,518.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,247.00 / $9,441.00	Facility		$1,600.00	$5,247.00	$9,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $855.12 / $1,163.81 / $2,020.21	Professional		$855.12	$1,163.81	$2,020.21