Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $1,055.00 / $4,634.00	Facility		$128.59	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $80.01 / $153.50	Professional		$39.59	$80.01	$153.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.23 / $230.25 / $646.98	Professional	50	$63.23	$230.25	$646.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $510.29 / $1,021.29	Facility		$352.82	$510.29	$1,021.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $87.69 / $144.66	Professional		$56.20	$87.69	$144.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.19 / $109.61 / $480.00	Facility		$98.19	$109.61	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $98.74 / $194.69	Professional		$55.75	$98.74	$194.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $125.00 / $378.90	Professional		$65.45	$125.00	$378.90
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 $52.92 / $57.30 / $109.04	Professional		$52.92	$57.30	$109.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.30	Professional		$32.34	$32.34	$123.30
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $127.81 / $201.49	Professional		$72.06	$127.81	$201.49