Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.42 / $1,207.00 / $5,389.00	Facility		$177.42	$1,207.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $309.75 / $309.75 / $309.75	Facility	50	$309.75	$309.75	$309.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $176.82 / $304.57	Professional		$94.78	$176.82	$304.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.40 / $2,061.69 / $3,964.02	Facility		$930.40	$2,061.69	$3,964.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $180.48 / $304.41	Professional		$109.55	$180.48	$304.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $186.43 / $377.90	Professional		$99.94	$186.43	$377.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.49 / $246.53 / $634.87	Professional		$110.49	$246.53	$634.87
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 $114.37 / $117.04 / $230.82	Professional		$114.37	$117.04	$230.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $261.00	Professional		$32.34	$32.34	$261.00
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,963.00 / $4,756.00	Facility		$600.00	$1,963.00	$4,756.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $202.66 / $371.42	Professional		$124.73	$202.66	$371.42