Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $318.50 / $1,842.00	Facility		$99.36	$318.50	$1,842.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $150.29 / $323.70 / $1,697.54	Facility	50	$150.29	$323.70	$1,697.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $111.44 / $270.89	Professional		$53.50	$111.44	$270.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.49 / $249.14 / $767.52	Professional	50	$55.49	$249.14	$767.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $633.01 / $1,380.69	Facility		$177.36	$633.01	$1,380.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $162.47 / $277.92	Professional		$69.17	$162.47	$277.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $126.29 / $255.61	Professional		$70.31	$126.29	$255.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $207.69 / $406.77	Professional		$82.55	$207.69	$406.77
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 $65.26 / $72.44 / $207.69	Professional		$65.26	$72.44	$207.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $239.64	Professional		$32.34	$32.34	$239.64
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 $107.11 / $182.68 / $368.05	Professional		$107.11	$182.68	$368.05