Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.05 / $973.00 / $4,500.00	Facility		$114.05	$973.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $88.23 / $169.75	Professional		$55.55	$88.23	$169.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.89 / $137.90 / $235.04	Professional	50	$87.89	$137.90	$235.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.05 / $746.64 / $1,495.14	Facility		$349.05	$746.64	$1,495.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $110.78 / $174.53	Professional		$72.45	$110.78	$174.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $109.01 / $177.80	Professional		$66.33	$109.01	$177.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $150.58 / $680.55	Professional		$84.00	$150.58	$680.55
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 $70.97 / $75.31 / $129.86	Professional		$70.97	$75.31	$129.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.84	Professional		$32.34	$32.34	$146.84
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 $89.17 / $138.24 / $209.73	Professional		$89.17	$138.24	$209.73