Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.24 / $2,758.00 / $6,180.00	Facility		$823.24	$2,758.00	$6,180.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,851.48 / $4,777.32 / $7,569.48	Facility	50	$1,851.48	$4,777.32	$7,569.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.53 / $764.28 / $1,359.31	Professional		$554.53	$764.28	$1,359.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $859.32 / $2,637.75	Professional	50	$787.82	$859.32	$2,637.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $6,197.21 / $13,516.91	Facility		$3,088.53	$6,197.21	$13,516.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.22 / $1,048.24 / $1,283.99	Professional		$675.22	$1,048.24	$1,283.99
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 $608.25 / $873.13 / $1,331.74	Professional		$608.25	$873.13	$1,331.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $583.33 / $1,019.45 / $2,993.04	Professional		$583.33	$1,019.45	$2,993.04
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 $709.33 / $721.31 / $965.63	Professional		$709.33	$721.31	$965.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,091.90	Professional		$32.34	$32.34	$1,091.90
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 $673.08 / $905.99 / $1,570.56	Professional		$673.08	$905.99	$1,570.56