Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.67 / $1,017.00 / $5,091.00	Facility		$190.67	$1,017.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,393.38 / $1,393.38 / $1,393.38	Facility	50	$1,393.38	$1,393.38	$1,393.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $161.99 / $296.75	Professional		$97.60	$161.99	$296.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $1,117.97 / $2,600.75	Facility		$302.58	$1,117.97	$2,600.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $203.10 / $328.11	Professional		$130.88	$203.10	$328.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $197.53 / $334.96	Professional		$115.46	$197.53	$334.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $263.45 / $605.67	Professional		$146.94	$263.45	$605.67
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 $133.16 / $136.44 / $244.63	Professional		$133.16	$136.44	$244.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $282.27	Professional		$32.34	$32.34	$282.27
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 $177.25 / $250.60 / $411.18	Professional		$177.25	$250.60	$411.18