Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,380.38 / $5,623.41	Facility		$95.50	$1,380.38	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $1,096.48 / $8,317.64	Facility	50	$676.08	$1,096.48	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $275.42	Professional		$52.48	$114.82	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $389.05 / $602.56	Professional	50	$125.89	$389.05	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $1,513.56	Facility		$562.34	$1,258.93	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $173.78	Professional		$67.61	$102.33	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $208.93	Professional		$64.57	$112.20	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $741.31	Professional		$83.18	$158.49	$741.31
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 $64.57 / $69.18 / $131.83	Professional		$64.57	$69.18	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $3,715.35	Facility		$724.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $213.80	Professional		$61.66	$114.82	$213.80