Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $813.00 / $4,500.00	Facility		$73.88	$813.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $121.32 / $203.72	Professional		$44.88	$121.32	$203.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $740.61 / $740.61 / $759.60	Professional	50	$740.61	$740.61	$759.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $993.08	Facility		$122.43	$122.43	$993.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $122.43 / $284.23	Professional		$48.78	$122.43	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $127.96 / $226.58	Professional		$48.86	$127.96	$226.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $163.13 / $376.14	Professional		$57.29	$163.13	$376.14
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 $43.02 / $49.65 / $155.03	Professional		$43.02	$49.65	$155.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $175.30	Professional		$32.34	$32.34	$175.30
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $770.00 / $3,685.00	Facility		$204.00	$770.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $185.08 / $270.45	Professional		$111.88	$185.08	$270.45