Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.15 / $1,609.00 / $5,091.00	Facility		$251.15	$1,609.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,149.00 / $13,149.00 / $13,149.00	Facility	50	$13,149.00	$13,149.00	$13,149.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $256.69 / $450.06	Professional		$136.27	$256.69	$450.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $256.57 / $256.57 / $256.57	Professional	50	$256.57	$256.57	$256.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.63 / $1,625.50 / $3,121.36	Facility		$1,157.63	$1,625.50	$3,121.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $269.17 / $454.00	Professional		$156.72	$269.17	$454.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $267.33 / $538.85	Professional		$148.47	$267.33	$538.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $365.83 / $703.39	Professional		$160.91	$365.83	$703.39
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 $164.61 / $167.05 / $344.94	Professional		$164.61	$167.05	$344.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $390.05	Professional		$32.34	$32.34	$390.05
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $331.87 / $659.23	Professional		$251.61	$331.87	$659.23