Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.77 / $1,055.00 / $4,634.00	Facility		$205.77	$1,055.00	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $722.57 / $722.57 / $722.57	Facility	50	$722.57	$722.57	$722.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $154.69 / $289.37	Professional		$94.99	$154.69	$289.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $179.81 / $273.74 / $420.92	Professional	50	$179.81	$273.74	$420.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.72 / $1,230.86 / $2,463.46	Facility		$827.72	$1,230.86	$2,463.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $202.38 / $291.52	Professional		$134.37	$202.38	$291.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $186.90 / $908.00	Facility		$167.42	$186.90	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $196.79 / $314.86	Professional		$121.70	$196.79	$314.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $251.53 / $610.84	Professional		$150.66	$251.53	$610.84
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 $127.26 / $137.58 / $218.65	Professional		$127.26	$137.58	$218.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.24	Professional		$32.34	$32.34	$247.24
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $240.33 / $370.82	Professional		$157.58	$240.33	$370.82