Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.78 / $2,228.00 / $5,580.00	Facility		$721.78	$2,228.00	$5,580.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,030.37 / $2,030.37 / $7,069.17	Facility	50	$2,030.37	$2,030.37	$7,069.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.01 / $671.27 / $1,115.19	Professional		$438.01	$671.27	$1,115.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $596.84 / $596.84 / $596.84	Professional	50	$596.84	$596.84	$596.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,739.33 / $10,337.08	Facility		$2,796.70	$4,739.33	$10,337.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.04 / $804.74 / $1,114.05	Professional		$519.04	$804.74	$1,114.05
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 $472.82 / $695.08 / $1,151.73	Professional		$472.82	$695.08	$1,151.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $851.92 / $2,079.01	Professional		$470.69	$851.92	$2,079.01
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 $545.26 / $553.75 / $841.15	Professional		$545.26	$553.75	$841.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $951.15	Professional		$32.34	$32.34	$951.15
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 $571.11 / $774.94 / $1,343.27	Professional		$571.11	$774.94	$1,343.27