Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.12 / $973.00 / $5,389.00	Facility		$157.12	$973.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.00 / $1,482.00 / $3,100.10	Facility	50	$741.00	$1,482.00	$3,100.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $211.74 / $433.56	Professional		$74.48	$211.74	$433.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $1,076.80 / $2,156.29	Facility		$503.40	$1,076.80	$2,156.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $284.02 / $572.66	Professional		$97.50	$284.02	$572.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $214.98 / $531.63	Professional		$88.34	$214.98	$531.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $436.50 / $1,051.21	Professional		$115.68	$436.50	$1,051.21
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 $95.11 / $103.47 / $394.93	Professional		$95.11	$103.47	$394.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $446.57	Professional		$32.34	$32.34	$446.57
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $367.48 / $650.72	Professional		$266.33	$367.48	$650.72