Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.24 / $813.00 / $5,099.92	Facility		$116.24	$813.00	$5,099.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $135.76 / $268.89	Professional		$81.17	$135.76	$268.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,559.96 / $2,559.96 / $2,559.96	Professional	50	$2,559.96	$2,559.96	$2,559.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $781.39 / $1,731.50 / $3,108.13	Facility		$781.39	$1,731.50	$3,108.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $166.18 / $265.75	Professional		$109.21	$166.18	$265.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $170.34 / $265.66	Professional		$102.26	$170.34	$265.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $227.30 / $427.13	Professional		$120.00	$227.30	$427.13
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 $111.25 / $117.70 / $211.07	Professional		$111.25	$117.70	$211.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.54	Professional		$32.34	$32.34	$243.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $209.04 / $333.49	Professional		$144.01	$209.04	$333.49