Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.87 / $1,620.00 / $5,393.00	Facility		$487.87	$1,620.00	$5,393.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,113.59 / $6,388.13 / $7,563.80	Facility	50	$1,113.59	$6,388.13	$7,563.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $369.64 / $713.90	Professional		$258.02	$369.64	$713.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $677.33 / $802.36 / $1,646.10	Professional	50	$677.33	$802.36	$1,646.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.22 / $2,781.79 / $6,471.28	Facility		$1,341.22	$2,781.79	$6,471.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.83 / $522.40 / $678.61	Professional		$341.83	$522.40	$678.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $4,720.00 / $5,249.00	Facility		$875.00	$4,720.00	$5,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.84 / $473.03 / $709.32	Professional		$333.84	$473.03	$709.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $557.89 / $1,072.09	Professional		$366.30	$557.89	$1,072.09
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 $340.13 / $361.66 / $518.04	Professional		$340.13	$361.66	$518.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $597.74	Professional		$32.34	$32.34	$597.74
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.52 / $538.46 / $956.68	Professional		$388.52	$538.46	$956.68