Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $630.00 / $5,389.00	Facility		$133.97	$630.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $123.40 / $217.31	Professional		$83.48	$123.40	$217.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.22 / $125.22 / $125.22	Professional	50	$125.22	$125.22	$125.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $1,180.34 / $2,225.59	Facility		$580.85	$1,180.34	$2,225.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $161.02 / $239.82	Professional		$105.40	$161.02	$239.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $147.86 / $220.47	Professional		$90.55	$147.86	$220.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $177.46 / $381.61	Professional		$114.21	$177.46	$381.61
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 $100.32 / $106.05 / $161.02	Professional		$100.32	$106.05	$161.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.79	Professional		$32.34	$32.34	$185.79
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $174.77 / $272.56	Professional		$122.96	$174.77	$272.56