Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $1,609.00 / $5,283.00	Facility		$652.00	$1,609.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.35 / $651.85 / $983.63	Professional		$458.35	$651.85	$983.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,849.38 / $1,849.38 / $1,849.38	Professional	50	$1,849.38	$1,849.38	$1,849.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,826.45 / $10,527.10	Facility		$2,796.70	$4,826.45	$10,527.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.29 / $813.99 / $1,014.07	Professional		$525.29	$813.99	$1,014.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.66 / $691.54 / $1,054.18	Professional		$482.66	$691.54	$1,054.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.94 / $798.43 / $2,236.57	Professional		$459.94	$798.43	$2,236.57
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 $550.88 / $560.12 / $764.09	Professional		$550.88	$560.12	$764.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $864.01	Professional		$32.34	$32.34	$864.01
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 $549.78 / $718.33 / $1,227.25	Professional		$549.78	$718.33	$1,227.25