Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,380.38 / $5,623.41	Facility		$169.82	$1,380.38	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $977.24 / $1,819.70	Facility	50	$588.84	$977.24	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $309.03	Professional		$89.13	$141.25	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $562.34 / $831.76	Professional	50	$309.03	$562.34	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $2,290.87	Facility		$398.11	$501.19	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $269.15	Professional		$138.04	$181.97	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $245.47	Professional		$95.50	$162.18	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $467.74	Professional		$131.83	$218.78	$467.74
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 $120.23 / $173.78 / $204.17	Professional		$120.23	$173.78	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $741.31 / $2,187.76	Facility		$158.49	$741.31	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $229.09	Professional		$87.10	$128.82	$229.09