Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.44 / $578.26 / $5,091.00	Facility		$89.44	$578.26	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,657.06 / $1,775.25 / $2,314.80	Facility	50	$1,657.06	$1,775.25	$2,314.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $101.50 / $217.85	Professional		$55.66	$101.50	$217.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.95 / $151.72 / $361.20	Professional	50	$60.95	$151.72	$361.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.47 / $952.90 / $1,385.56	Facility		$453.47	$952.90	$1,385.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $125.72 / $207.39	Professional		$76.94	$125.72	$207.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.52 / $141.24 / $480.00	Facility		$126.52	$141.24	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $117.47 / $204.96	Professional		$68.94	$117.47	$204.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $170.06 / $662.34	Professional		$89.67	$170.06	$662.34
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 $75.47 / $80.39 / $154.25	Professional		$75.47	$80.39	$154.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.42	Professional		$32.34	$32.34	$174.42
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 $77.61 / $125.41 / $220.58	Professional		$77.61	$125.41	$220.58