Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.11 / $902.40 / $3,221.00	Facility		$87.11	$902.40	$3,221.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $221.00 / $931.42 / $2,288.26	Facility	50	$221.00	$931.42	$2,288.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $80.40 / $151.47	Professional		$47.57	$80.40	$151.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.55 / $125.27 / $437.12	Professional	50	$70.55	$125.27	$437.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.49 / $640.64 / $1,282.88	Facility		$299.49	$640.64	$1,282.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $96.71 / $159.52	Professional		$61.08	$96.71	$159.52
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 $56.68 / $97.00 / $162.11	Professional		$56.68	$97.00	$162.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $137.63 / $556.09	Professional		$71.34	$137.63	$556.09
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 $61.27 / $63.96 / $118.39	Professional		$61.27	$63.96	$118.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.87	Professional		$32.34	$32.34	$133.87
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 $82.09 / $126.29 / $202.29	Professional		$82.09	$126.29	$202.29