Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.29 / $1,129.00 / $5,091.00	Facility		$136.29	$1,129.00	$5,091.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $50.02 / $50.02 / $196.56	Facility	52	$50.02	$50.02	$196.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $317.86 / $596.36	Professional		$92.66	$317.86	$596.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $554.71 / $1,127.23 / $2,125.42	Facility		$554.71	$1,127.23	$2,125.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $346.61 / $680.13	Professional		$125.60	$346.61	$680.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $371.45 / $796.96	Professional		$131.66	$371.45	$796.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $578.85 / $1,148.16	Professional		$151.38	$578.85	$1,148.16
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 $127.48 / $135.81 / $547.13	Professional		$127.48	$135.81	$547.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $631.30	Professional		$32.34	$32.34	$631.30
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.19 / $656.65 / $977.43	Professional		$456.19	$656.65	$977.43