Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $8,511.38	Facility		$691.83	$3,090.30	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $630.96 / $21,379.62 / $21,379.62	Facility	50	$630.96	$21,379.62	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,258.93	Professional		$457.09	$676.08	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $316.23 / $724.44	Professional	50	$208.93	$316.23	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $9,772.37	Facility		$2,951.21	$3,548.13	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,071.52	Professional		$512.86	$812.83	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,148.15	Professional		$501.19	$724.44	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $2,570.40	Professional		$457.09	$851.14	$2,570.40
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 $549.54 / $549.54 / $812.83	Professional		$549.54	$549.54	$812.83
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 $478.63 / $676.08 / $1,122.02	Professional		$478.63	$676.08	$1,122.02