Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.63 / $525.94 / $3,636.00	Facility		$148.63	$525.94	$3,636.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $271.99 / $271.99 / $654.75	Facility	50	$271.99	$271.99	$654.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $169.27 / $372.64	Professional		$71.48	$169.27	$372.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.57 / $297.12 / $403.72	Professional	50	$113.57	$297.12	$403.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.96 / $811.08 / $1,886.83	Facility		$167.96	$811.08	$1,886.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $237.30 / $428.54	Professional		$95.77	$237.30	$428.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $204.25 / $412.17	Professional		$94.45	$204.25	$412.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $332.21 / $617.87	Professional		$111.53	$332.21	$617.87
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 $89.04 / $100.00 / $320.85	Professional		$89.04	$100.00	$320.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $370.22	Professional		$32.34	$32.34	$370.22
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.04 / $304.58 / $610.91	Professional		$211.04	$304.58	$610.91