Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,548.13 / $9,772.37	Facility		$831.76	$3,548.13	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $5,128.61 / $13,803.84	Facility	50	$1,862.09	$5,128.61	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $2,089.30	Professional		$575.44	$851.14	$2,089.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $1,380.38 / $5,370.32	Professional	50	$794.33	$1,380.38	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $12,589.25	Facility		$3,090.30	$3,715.35	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,288.25	Professional		$676.08	$1,047.13	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,380.38	Professional		$616.60	$912.01	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,023.29 / $3,467.37	Professional		$562.34	$1,023.29	$3,467.37
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 $707.95 / $724.44 / $954.99	Professional		$707.95	$724.44	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,548.13 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,380.38	Professional		$602.56	$812.83	$1,380.38