Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.12 / $590.86 / $2,989.00	Facility		$93.12	$590.86	$2,989.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $434.07 / $2,376.00 / $5,283.00	Facility	50	$434.07	$2,376.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $99.42 / $184.64	Professional		$45.76	$99.42	$184.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $144.80 / $332.78	Professional	50	$54.53	$144.80	$332.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.86 / $572.34 / $1,187.24	Facility		$353.86	$572.34	$1,187.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $121.42 / $200.30	Professional		$67.61	$121.42	$200.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.69 / $169.35 / $480.00	Facility		$151.69	$169.35	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $117.15 / $209.84	Professional		$60.83	$117.15	$209.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $167.58 / $363.22	Professional		$76.81	$167.58	$363.22
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 $59.01 / $130.27 / $153.26	Professional		$59.01	$130.27	$153.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.30	Professional		$32.34	$32.34	$173.30
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $149.07 / $266.89	Professional		$103.70	$149.07	$266.89