Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.12 / $1,082.40 / $5,389.00	Facility		$170.12	$1,082.40	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,689.60 / $6,995.20 / $6,995.20	Facility	50	$1,689.60	$6,995.20	$6,995.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $202.32 / $431.64	Professional		$106.51	$202.32	$431.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.99 / $164.99 / $1,212.03	Professional	50	$164.99	$164.99	$1,212.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.09 / $1,443.73 / $2,605.62	Facility		$1,064.09	$1,443.73	$2,605.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $265.02 / $437.17	Professional		$145.52	$265.02	$437.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.06 / $369.59 / $480.00	Facility		$331.06	$369.59	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $238.49 / $432.05	Professional		$138.07	$238.49	$432.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.97 / $349.76 / $696.10	Professional		$171.97	$349.76	$696.10
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 $143.72 / $150.29 / $327.94	Professional		$143.72	$150.29	$327.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $378.39	Professional		$32.34	$32.34	$378.39
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $302.63 / $516.83	Professional		$190.82	$302.63	$516.83