Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.52 / $813.00 / $4,634.00	Facility		$80.52	$813.00	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,364.72 / $7,364.72 / $7,364.72	Facility	50	$7,364.72	$7,364.72	$7,364.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $72.05 / $140.91	Professional		$42.26	$72.05	$140.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.37 / $239.39 / $1,053.00	Professional	50	$208.37	$239.39	$1,053.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $530.60 / $1,063.42	Facility		$352.82	$530.60	$1,063.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $92.90 / $163.95	Professional		$53.28	$92.90	$163.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $104.70 / $908.00	Facility		$93.79	$104.70	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $86.45 / $148.47	Professional		$50.84	$86.45	$148.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $124.96 / $272.12	Professional		$65.77	$124.96	$272.12
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 $54.39 / $58.97 / $111.97	Professional		$54.39	$58.97	$111.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.19	Professional		$32.34	$32.34	$129.19
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $98.40 / $160.58	Professional		$70.72	$98.40	$160.58