Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.85 / $1,043.21 / $4,634.00	Facility		$168.85	$1,043.21	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $592.55 / $987.93 / $1,809.77	Facility	50	$592.55	$987.93	$1,809.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $126.98 / $240.28	Professional		$87.43	$126.98	$240.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.17 / $1,120.18 / $2,443.26	Facility		$406.17	$1,120.18	$2,443.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $182.15 / $266.39	Professional		$136.88	$182.15	$266.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.15 / $185.49 / $480.00	Facility		$166.15	$185.49	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $169.73 / $252.94	Professional		$99.35	$169.73	$252.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $219.97 / $428.25	Professional		$135.82	$219.97	$428.25
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 $121.37 / $173.62 / $204.26	Professional		$121.37	$173.62	$204.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.97	Professional		$32.34	$32.34	$230.97
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 $104.51 / $157.56 / $270.20	Professional		$104.51	$157.56	$270.20