Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,842.00 / $5,393.00	Facility		$813.00	$1,842.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.97 / $820.52 / $1,359.81	Professional		$618.97	$820.52	$1,359.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $7,824.96 / $7,824.96 / $7,824.96	Professional	50	$7,824.96	$7,824.96	$7,824.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $6,802.70 / $14,837.56	Facility		$3,088.53	$6,802.70	$14,837.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.92 / $1,151.48 / $1,354.35	Professional		$740.92	$1,151.48	$1,354.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.16 / $926.06 / $1,406.80	Professional		$630.16	$926.06	$1,406.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $1,066.63 / $2,535.38	Professional		$621.91	$1,066.63	$2,535.38
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 $778.51 / $792.35 / $1,016.50	Professional		$778.51	$792.35	$1,016.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,149.42	Professional		$32.34	$32.34	$1,149.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.81 / $939.64 / $1,655.32	Professional		$707.81	$939.64	$1,655.32