Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.57 / $2,059.07 / $5,549.00	Facility		$824.57	$2,059.07	$5,549.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,449.00 / $1,449.00 / $1,449.00	Facility	50	$1,449.00	$1,449.00	$1,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $758.55 / $1,211.84	Professional		$516.91	$758.55	$1,211.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $707.01 / $1,603.54	Professional	50	$707.01	$707.01	$1,603.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $5,603.81 / $12,222.63	Facility		$3,088.53	$5,603.81	$12,222.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.26 / $947.07 / $1,275.33	Professional		$611.26	$947.07	$1,275.33
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 $490.75 / $802.08 / $1,302.85	Professional		$490.75	$802.08	$1,302.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $533.72 / $968.07 / $2,167.79	Professional		$533.72	$968.07	$2,167.79
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 $645.15 / $651.69 / $962.81	Professional		$645.15	$651.69	$962.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,088.71	Professional		$32.34	$32.34	$1,088.71
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 $656.35 / $866.58 / $1,553.63	Professional		$656.35	$866.58	$1,553.63