Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $1,471.00 / $5,389.00	Facility		$368.93	$1,471.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,039.70 / $5,493.00 / $7,150.23	Facility	50	$1,039.70	$5,493.00	$7,150.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.32 / $368.73 / $643.54	Professional		$219.32	$368.73	$643.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $692.80	Professional	50	$114.04	$114.04	$692.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,165.91 / $3,283.09 / $5,038.57	Facility		$2,165.91	$3,283.09	$5,038.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.38 / $389.49 / $632.48	Professional		$251.38	$389.49	$632.48
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 $246.86 / $387.58 / $695.57	Professional		$246.86	$387.58	$695.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $512.21 / $1,302.67	Professional		$261.66	$512.21	$1,302.67
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 $265.76 / $268.01 / $479.30	Professional		$265.76	$268.01	$479.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $541.97	Professional		$32.34	$32.34	$541.97
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 $400.49 / $522.33 / $871.29	Professional		$400.49	$522.33	$871.29