Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.56 / $1,278.00 / $5,389.00	Facility		$219.56	$1,278.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,596.50 / $2,596.50 / $2,596.50	Facility	50	$2,596.50	$2,596.50	$2,596.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $191.58 / $353.08	Professional		$120.06	$191.58	$353.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.31 / $309.31 / $309.31	Professional	50	$309.31	$309.31	$309.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.80 / $1,300.06 / $3,024.34	Facility		$626.80	$1,300.06	$3,024.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $245.06 / $369.92	Professional		$159.81	$245.06	$369.92
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 $143.35 / $236.40 / $382.87	Professional		$143.35	$236.40	$382.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.18 / $301.41 / $595.80	Professional		$175.18	$301.41	$595.80
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 $163.29 / $167.90 / $284.41	Professional		$163.29	$167.90	$284.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $328.17	Professional		$32.34	$32.34	$328.17
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $288.39 / $456.10	Professional		$213.36	$288.39	$456.10