Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.46 / $800.00 / $3,636.00	Facility		$115.46	$800.00	$3,636.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $59.20 / $1,182.33 / $5,810.31	Facility	50	$59.20	$1,182.33	$5,810.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $123.51 / $264.05	Professional		$94.50	$123.51	$264.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.33 / $316.80 / $898.50	Professional	50	$84.33	$316.80	$898.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.17 / $1,208.74 / $2,636.43	Facility		$406.17	$1,208.74	$2,636.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $189.48 / $259.80	Professional		$146.22	$189.48	$259.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $150.36 / $908.00	Facility		$134.69	$150.36	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $182.29 / $268.27	Professional		$121.53	$182.29	$268.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $224.15 / $687.97	Professional		$149.44	$224.15	$687.97
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 $123.08 / $143.62 / $200.97	Professional		$123.08	$143.62	$200.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $227.25	Professional		$32.34	$32.34	$227.25
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 $125.31 / $177.74 / $297.27	Professional		$125.31	$177.74	$297.27