Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.49 / $1,536.68 / $5,091.00	Facility		$751.49	$1,536.68	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,910.40 / $7,563.80 / $7,563.80	Facility	50	$3,910.40	$7,563.80	$7,563.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.08 / $655.25 / $1,298.15	Professional		$431.08	$655.25	$1,298.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.06 / $5,513.65 / $11,050.43	Facility		$2,884.06	$5,513.65	$11,050.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.57 / $881.86 / $1,289.28	Professional		$584.57	$881.86	$1,289.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $4,720.00 / $5,249.00	Facility		$620.00	$4,720.00	$5,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.51 / $837.25 / $1,300.58	Professional		$490.51	$837.25	$1,300.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.16 / $1,050.48 / $2,675.56	Professional		$600.16	$1,050.48	$2,675.56
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 $591.77 / $615.29 / $989.47	Professional		$591.77	$615.29	$989.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,141.70	Professional		$32.34	$32.34	$1,141.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,733.00 / $6,625.00	Facility		$1,165.00	$3,733.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.89 / $1,018.61 / $1,492.18	Professional		$696.89	$1,018.61	$1,492.18