Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.65 / $2,462.00 / $5,549.00	Facility		$669.65	$2,462.00	$5,549.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,550.50 / $3,550.50 / $5,389.00	Facility	50	$3,550.50	$3,550.50	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.88 / $622.59 / $1,055.33	Professional		$461.88	$622.59	$1,055.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $984.62 / $1,394.77 / $1,394.77	Professional	50	$984.62	$1,394.77	$1,394.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,840.19 / $4,989.32 / $10,882.34	Facility		$2,840.19	$4,989.32	$10,882.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.63 / $846.33 / $1,046.96	Professional		$544.63	$846.33	$1,046.96
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 $498.78 / $729.34 / $1,086.55	Professional		$498.78	$729.34	$1,086.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $484.29 / $847.50 / $2,633.17	Professional		$484.29	$847.50	$2,633.17
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 $573.14 / $582.36 / $786.97	Professional		$573.14	$582.36	$786.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $889.88	Professional		$32.34	$32.34	$889.88
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 $592.78 / $773.00 / $1,276.13	Professional		$592.78	$773.00	$1,276.13