Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.11 / $735.00 / $3,636.00	Facility		$110.11	$735.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $123.29 / $233.38	Professional		$58.64	$123.29	$233.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.99 / $134.99 / $134.99	Professional	50	$134.99	$134.99	$134.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.64 / $1,160.07 / $1,624.10	Facility		$601.64	$1,160.07	$1,624.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $163.47 / $281.14	Professional		$78.09	$163.47	$281.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $138.69 / $266.17	Professional		$70.73	$138.69	$266.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $225.65 / $796.40	Professional		$92.67	$225.65	$796.40
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 $76.61 / $81.43 / $210.61	Professional		$76.61	$81.43	$210.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.15	Professional		$32.34	$32.34	$238.15
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $193.65 / $286.93	Professional		$124.86	$193.65	$286.93