Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,621.81 / $5,623.41	Facility		$190.55	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $346.74	Professional		$93.33	$138.04	$346.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $102.33 / $309.03	Professional	52	$43.65	$102.33	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $2,454.71	Facility		$398.11	$524.81	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $239.88	Professional		$144.54	$190.55	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $162.18	Facility		$125.89	$125.89	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $245.47	Professional		$109.65	$169.82	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $489.78	Professional		$138.04	$223.87	$489.78
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 $128.82 / $144.54 / $186.21	Professional		$128.82	$144.54	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $181.97	Professional		$32.36	$32.36	$181.97
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 $100.00 / $141.25 / $234.42	Professional		$100.00	$141.25	$234.42