Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $1,129.00 / $4,200.00	Facility		$150.13	$1,129.00	$4,200.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $310.02 / $2,414.00 / $3,621.00	Facility	50	$310.02	$2,414.00	$3,621.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $174.87 / $332.37	Professional		$70.94	$174.87	$332.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $189.17 / $243.32 / $243.32	Professional	50	$189.17	$243.32	$243.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $793.10 / $1,225.03 / $1,844.98	Facility		$793.10	$1,225.03	$1,844.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $237.93 / $392.49	Professional		$101.87	$237.93	$392.49
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 $87.52 / $173.15 / $379.39	Professional		$87.52	$173.15	$379.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $314.00 / $927.88	Professional		$113.46	$314.00	$927.88
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 $101.63 / $105.35 / $295.33	Professional		$101.63	$105.35	$295.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $340.77	Professional		$32.34	$32.34	$340.77
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 $186.82 / $272.20 / $445.69	Professional		$186.82	$272.20	$445.69