Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.49 / $2,228.00 / $5,580.00	Facility		$694.49	$2,228.00	$5,580.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $633.35 / $633.35 / $21,556.33	Facility	50	$633.35	$633.35	$21,556.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.73 / $643.17 / $1,022.15	Professional		$451.73	$643.17	$1,022.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $365.67 / $731.34	Professional	50	$210.69	$365.67	$731.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,748.92 / $10,358.01	Facility		$2,796.70	$4,748.92	$10,358.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.29 / $803.62 / $1,072.81	Professional		$518.29	$803.62	$1,072.81
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 $478.64 / $694.08 / $1,106.91	Professional		$478.64	$694.08	$1,106.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $454.51 / $840.44 / $2,298.81	Professional		$454.51	$840.44	$2,298.81
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 $544.45 / $552.98 / $809.32	Professional		$544.45	$552.98	$809.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $915.15	Professional		$32.34	$32.34	$915.15
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 $564.96 / $786.93 / $1,414.18	Professional		$564.96	$786.93	$1,414.18