Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $2,088.76 / $6,661.00	Facility		$232.04	$2,088.76	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $210.51 / $508.60	Professional		$111.10	$210.51	$508.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $575.63 / $575.63 / $575.63	Professional	50	$575.63	$575.63	$575.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.20 / $1,961.03 / $2,872.06	Facility		$727.20	$1,961.03	$2,872.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $260.56 / $394.85	Professional		$148.25	$260.56	$394.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $265.70 / $639.86	Professional		$156.97	$265.70	$639.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $336.43 / $1,262.93	Professional		$175.06	$336.43	$1,262.93
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 $147.00 / $157.16 / $302.41	Professional		$147.00	$157.16	$302.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.93	Professional		$32.34	$32.34	$348.93
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 $207.14 / $331.66 / $790.79	Professional		$207.14	$331.66	$790.79