Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.19 / $2,462.00 / $5,580.00	Facility		$678.19	$2,462.00	$5,580.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.24 / $0.24 / $0.24	Facility	50	$0.24	$0.24	$0.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.90 / $660.71 / $1,059.58	Professional		$425.90	$660.71	$1,059.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,523.37 / $9,735.94	Facility		$2,796.70	$4,523.37	$9,735.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.04 / $758.83 / $1,045.84	Professional		$490.04	$758.83	$1,045.84
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 $449.92 / $668.70 / $1,082.08	Professional		$449.92	$668.70	$1,082.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.87 / $836.43 / $1,779.35	Professional		$442.87	$836.43	$1,779.35
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 $513.98 / $522.16 / $790.28	Professional		$513.98	$522.16	$790.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $893.63	Professional		$32.34	$32.34	$893.63
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 $520.92 / $712.20 / $1,263.25	Professional		$520.92	$712.20	$1,263.25