Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,842.00 / $5,389.00	Facility		$720.00	$1,842.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,704.06 / $4,038.00 / $5,168.07	Facility	50	$1,704.06	$4,038.00	$5,168.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.94 / $693.45 / $1,047.16	Professional		$540.94	$693.45	$1,047.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $6,245.50 / $13,622.24	Facility		$3,088.53	$6,245.50	$13,622.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.72 / $967.60 / $1,059.66	Professional		$682.72	$967.60	$1,059.66
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 $560.87 / $784.69 / $1,158.08	Professional		$560.87	$784.69	$1,158.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.67 / $906.66 / $2,327.50	Professional		$540.67	$906.66	$2,327.50
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 $719.19 / $729.16 / $792.38	Professional		$719.19	$729.16	$792.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $895.99	Professional		$32.34	$32.34	$895.99
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 $558.89 / $728.18 / $1,300.25	Professional		$558.89	$728.18	$1,300.25