Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,235.00 / $5,430.00	Facility		$711.00	$2,235.00	$5,430.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,283.00 / $5,283.00 / $5,283.00	Facility	50	$5,283.00	$5,283.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.48 / $659.96 / $1,021.38	Professional		$536.48	$659.96	$1,021.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $5,809.12 / $12,670.44	Facility		$3,088.53	$5,809.12	$12,670.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $899.12 / $985.20	Professional		$634.40	$899.12	$985.20
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 $506.97 / $736.29 / $1,076.11	Professional		$506.97	$736.29	$1,076.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $502.59 / $842.49 / $2,507.27	Professional		$502.59	$842.49	$2,507.27
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 $667.13 / $677.92 / $736.29	Professional		$667.13	$677.92	$736.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $832.58	Professional		$32.34	$32.34	$832.58
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 $517.44 / $663.89 / $1,211.23	Professional		$517.44	$663.89	$1,211.23