Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.57 / $1,620.00 / $5,393.00	Facility		$230.57	$1,620.00	$5,393.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $636.67 / $2,570.00 / $5,657.74	Facility	50	$636.67	$2,570.00	$5,657.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $139.66 / $268.74	Professional		$129.33	$139.66	$268.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,454.86 / $3,157.72 / $5,510.44	Facility		$1,454.86	$3,157.72	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $238.66 / $270.89	Professional		$178.11	$238.66	$270.89
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 $160.13 / $214.66 / $309.70	Professional		$160.13	$214.66	$309.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $252.16 / $677.31	Professional		$174.91	$252.16	$677.31
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 $181.35 / $187.54 / $206.71	Professional		$181.35	$187.54	$206.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.52	Professional		$32.34	$32.34	$238.52
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,685.00 / $6,181.00	Facility		$749.00	$2,685.00	$6,181.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $209.82 / $321.26	Professional		$151.44	$209.82	$321.26