Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $839.03 / $3,221.00	Facility		$113.69	$839.03	$3,221.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $310.45 / $726.16 / $1,437.96	Facility	50	$310.45	$726.16	$1,437.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $191.53 / $458.16	Professional		$61.81	$191.53	$458.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.32 / $294.54 / $576.98	Professional	50	$99.32	$294.54	$576.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.02 / $821.44 / $1,644.93	Facility		$384.02	$821.44	$1,644.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $246.70 / $431.82	Professional		$80.78	$246.70	$431.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $170.15 / $422.74	Professional		$74.92	$170.15	$422.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $350.50 / $871.50	Professional		$94.77	$350.50	$871.50
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 $79.44 / $84.15 / $325.47	Professional		$79.44	$84.15	$325.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.03	Professional		$32.34	$32.34	$368.03
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 $173.49 / $273.70 / $404.33	Professional		$173.49	$273.70	$404.33