Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $566.16 / $3,170.00	Facility		$75.02	$566.16	$3,170.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $291.64 / $897.50 / $2,414.00	Facility	50	$291.64	$897.50	$2,414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $90.09 / $186.22	Professional		$54.13	$90.09	$186.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.00 / $199.50 / $824.00	Professional	50	$114.00	$199.50	$824.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.86 / $574.66 / $1,253.44	Facility		$353.86	$574.66	$1,253.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $94.73 / $139.56	Professional		$68.64	$94.73	$139.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $77.98 / $480.00	Facility		$69.84	$77.98	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $100.69 / $163.13	Professional		$63.14	$100.69	$163.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $122.57 / $400.68	Professional		$76.73	$122.57	$400.68
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 $59.89 / $68.80 / $106.22	Professional		$59.89	$68.80	$106.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.57	Professional		$32.34	$32.34	$122.57
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 $70.97 / $119.47 / $181.26	Professional		$70.97	$119.47	$181.26