Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.35 / $977.36 / $3,636.00	Facility		$194.35	$977.36	$3,636.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $947.04 / $1,192.00 / $1,711.59	Facility	50	$947.04	$1,192.00	$1,711.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $157.71 / $312.70	Professional		$107.90	$157.71	$312.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.52 / $280.85 / $993.59	Professional	50	$217.52	$280.85	$993.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.17 / $1,241.27 / $2,707.36	Facility		$406.17	$1,241.27	$2,707.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $191.87 / $250.22	Professional		$148.08	$191.87	$250.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $172.15 / $480.00	Facility		$154.19	$172.15	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $191.59 / $277.27	Professional		$127.22	$191.59	$277.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $221.27 / $617.70	Professional		$150.54	$221.27	$617.70
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 $139.79 / $148.99 / $189.71	Professional		$139.79	$148.99	$189.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.52	Professional		$32.34	$32.34	$214.52
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 $127.35 / $201.11 / $307.85	Professional		$127.35	$201.11	$307.85