Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $813.00 / $3,636.00	Facility		$104.55	$813.00	$3,636.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $219.72 / $219.72 / $521.53	Facility	50	$219.72	$219.72	$521.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $112.20 / $210.00	Professional		$55.16	$112.20	$210.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.06 / $144.25 / $144.25	Professional	50	$140.06	$144.25	$144.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.51 / $758.32 / $1,518.53	Facility		$354.51	$758.32	$1,518.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $143.21 / $236.24	Professional		$74.34	$143.21	$236.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $132.34 / $238.42	Professional		$71.78	$132.34	$238.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $197.65 / $648.08	Professional		$88.54	$197.65	$648.08
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 $73.06 / $77.38 / $176.71	Professional		$73.06	$77.38	$176.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.82	Professional		$32.34	$32.34	$199.82
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $164.06 / $265.93	Professional		$95.36	$164.06	$265.93