Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $1,990.00 / $5,549.00	Facility		$663.00	$1,990.00	$5,549.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,231.00 / $3,844.09 / $5,770.34	Facility	50	$1,231.00	$3,844.09	$5,770.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.84 / $714.61 / $1,093.08	Professional		$490.84	$714.61	$1,093.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $365.57 / $478.97 / $5,073.12	Professional	50	$365.57	$478.97	$5,073.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,004.22 / $5,277.48 / $11,510.85	Facility		$3,004.22	$5,277.48	$11,510.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.87 / $892.93 / $1,132.02	Professional		$575.87	$892.93	$1,132.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.63 / $726.89 / $1,168.66	Professional		$524.63	$726.89	$1,168.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $503.17 / $885.69 / $2,163.02	Professional		$503.17	$885.69	$2,163.02
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 $601.92 / $614.42 / $852.89	Professional		$601.92	$614.42	$852.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $964.42	Professional		$32.34	$32.34	$964.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,975.00 / $6,625.00	Facility		$1,165.00	$3,975.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $792.53 / $1,367.28	Professional		$592.79	$792.53	$1,367.28