Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.43 / $1,310.72 / $5,005.62	Facility		$172.43	$1,310.72	$5,005.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,202.44 / $1,915.74 / $1,915.74	Facility	50	$1,202.44	$1,915.74	$1,915.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $136.00 / $279.83	Professional		$72.68	$136.00	$279.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.95 / $1,714.56 / $2,753.02	Facility		$789.95	$1,714.56	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $177.96 / $295.93	Professional		$99.36	$177.96	$295.93
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 $97.58 / $163.85 / $290.35	Professional		$97.58	$163.85	$290.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $240.04 / $458.30	Professional		$119.07	$240.04	$458.30
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 $101.28 / $106.83 / $227.16	Professional		$101.28	$106.83	$227.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.11	Professional		$32.34	$32.34	$262.11
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $175.88 / $266.24	Professional		$114.71	$175.88	$266.24