Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.45 / $923.00 / $4,634.00	Facility		$84.45	$923.00	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,930.88 / $1,930.88 / $1,930.88	Facility	50	$1,930.88	$1,930.88	$1,930.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $84.45 / $185.77	Professional		$51.35	$84.45	$185.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.93 / $326.91 / $326.91	Professional	50	$122.93	$326.91	$326.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.11 / $952.90 / $1,336.06	Facility		$535.11	$952.90	$1,336.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $103.17 / $155.31	Professional		$67.87	$103.17	$155.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $94.86 / $480.00	Facility		$84.97	$94.86	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $106.79 / $195.94	Professional		$64.40	$106.79	$195.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $134.00 / $442.74	Professional		$78.40	$134.00	$442.74
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 $65.36 / $70.29 / $115.69	Professional		$65.36	$70.29	$115.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.82	Professional		$32.34	$32.34	$130.82
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 $82.97 / $149.88 / $226.28	Professional		$82.97	$149.88	$226.28