Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.16 / $1,159.00 / $4,634.00	Facility		$213.16	$1,159.00	$4,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.87 / $106.58 / $151.38	Facility	52	$64.87	$106.58	$151.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $178.90 / $304.17	Professional		$112.63	$178.90	$304.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.47 / $1,165.58 / $2,711.52	Facility		$610.47	$1,165.58	$2,711.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $216.12 / $309.73	Professional		$138.29	$216.12	$309.73
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 $140.59 / $217.60 / $314.20	Professional		$140.59	$217.60	$314.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $256.11 / $807.58	Professional		$158.93	$256.11	$807.58
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 $136.79 / $145.19 / $229.48	Professional		$136.79	$145.19	$229.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $264.77	Professional		$32.34	$32.34	$264.77
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 $176.60 / $252.98 / $394.79	Professional		$176.60	$252.98	$394.79