Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $1,017.00 / $4,634.00	Facility		$106.33	$1,017.00	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $700.94 / $700.94 / $1,000.00	Facility	50	$700.94	$700.94	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $106.33 / $227.05	Professional		$50.66	$106.33	$227.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.88 / $305.35 / $737.28	Professional	50	$123.88	$305.35	$737.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.13 / $946.67 / $1,301.14	Facility		$521.13	$946.67	$1,301.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $117.23 / $193.39	Professional		$65.66	$117.23	$193.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $153.19 / $480.00	Facility		$137.22	$153.19	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $122.48 / $223.88	Professional		$66.34	$122.48	$223.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $163.82 / $446.15	Professional		$78.68	$163.82	$446.15
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 $64.77 / $68.19 / $144.61	Professional		$64.77	$68.19	$144.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.52	Professional		$32.34	$32.34	$163.52
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 $108.78 / $158.91 / $275.07	Professional		$108.78	$158.91	$275.07