Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $923.00 / $5,405.00	Facility		$42.68	$923.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $56.32 / $109.50	Professional		$37.54	$56.32	$109.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.47 / $94.47 / $94.47	Professional	50	$94.47	$94.47	$94.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.99 / $549.08 / $816.52	Facility		$350.99	$549.08	$816.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $60.92 / $67.68	Professional		$40.39	$60.92	$67.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $57.31 / $113.96	Professional		$38.29	$57.31	$113.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $59.49 / $239.25	Professional		$36.69	$59.49	$239.25
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 $43.37 / $43.89 / $49.88	Professional		$43.37	$43.89	$49.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $57.56	Professional		$32.34	$32.34	$57.56
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $72.84 / $115.65	Professional		$46.92	$72.84	$115.65