Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.39 / $737.50 / $3,636.00	Facility		$91.39	$737.50	$3,636.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $681.38 / $681.38 / $681.38	Facility	50	$681.38	$681.38	$681.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $108.04 / $547.77	Professional		$53.12	$108.04	$547.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.17 / $918.42 / $1,488.45	Facility		$431.17	$918.42	$1,488.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $190.93 / $767.09	Professional		$64.47	$190.93	$767.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $137.84 / $658.12	Professional		$61.09	$137.84	$658.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $532.01 / $789.07	Professional		$75.47	$532.01	$789.07
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 $62.15 / $67.22 / $512.29	Professional		$62.15	$67.22	$512.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $591.12	Professional		$32.34	$32.34	$591.12
United Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,689.00 / $4,256.00	Facility		$660.00	$1,689.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.07 / $508.46 / $792.61	Professional		$342.07	$508.46	$792.61