Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.15 / $1,159.00 / $4,634.00	Facility		$136.15	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $122.70 / $215.11	Professional		$64.41	$122.70	$215.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.30 / $1,225.03 / $1,726.19	Facility		$723.30	$1,225.03	$1,726.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $153.88 / $253.84	Professional		$91.60	$153.88	$253.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $145.99 / $250.87	Professional		$79.87	$145.99	$250.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $210.78 / $726.00	Professional		$101.99	$210.78	$726.00
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 $91.21 / $94.71 / $190.03	Professional		$91.21	$94.71	$190.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.88	Professional		$32.34	$32.34	$214.88
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $187.75 / $291.39	Professional		$128.30	$187.75	$291.39