Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.98 / $1,785.00 / $5,393.00	Facility		$518.98	$1,785.00	$5,393.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $940.50 / $940.50 / $940.50	Facility	50	$940.50	$940.50	$940.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.65 / $518.98 / $816.79	Professional		$363.65	$518.98	$816.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,788.44 / $4,169.68 / $8,345.20	Facility		$2,788.44	$4,169.68	$8,345.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.74 / $648.41 / $809.48	Professional		$418.74	$648.41	$809.48
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 $355.28 / $565.66 / $840.96	Professional		$355.28	$565.66	$840.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $350.54 / $655.56 / $1,409.61	Professional		$350.54	$655.56	$1,409.61
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 $440.31 / $446.19 / $610.30	Professional		$440.31	$446.19	$610.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $690.12	Professional		$32.34	$32.34	$690.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.46 / $558.83 / $967.51	Professional		$421.46	$558.83	$967.51