Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $2,701.70 / $7,710.00	Facility		$241.90	$2,701.70	$7,710.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $681.61 / $4,108.10 / $8,089.50	Facility	50	$681.61	$4,108.10	$8,089.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $170.30 / $474.55	Professional		$137.74	$170.30	$474.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.40 / $427.31 / $1,020.00	Professional	50	$151.40	$427.31	$1,020.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.43 / $2,084.56 / $3,549.68	Facility		$926.43	$2,084.56	$3,549.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $253.33 / $287.67	Professional		$189.05	$253.33	$287.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $4,720.00 / $5,249.00	Facility		$709.00	$4,720.00	$5,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $227.86 / $333.80	Professional		$170.05	$227.86	$333.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $270.05 / $838.77	Professional		$185.66	$270.05	$838.77
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 $191.18 / $199.16 / $219.41	Professional		$191.18	$199.16	$219.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.17	Professional		$32.34	$32.34	$253.17
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $231.20 / $344.06	Professional		$162.49	$231.20	$344.06