Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.48 / $1,471.00 / $5,405.00	Facility		$262.48	$1,471.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $232.13 / $406.84	Professional		$138.02	$232.13	$406.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,581.84 / $1,581.84 / $1,581.84	Professional	50	$1,581.84	$1,581.84	$1,581.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.87 / $2,818.20 / $4,182.89	Facility		$1,441.87	$2,818.20	$4,182.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $261.54 / $402.54	Professional		$168.92	$261.54	$402.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $255.69 / $439.56	Professional		$153.66	$255.69	$439.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $326.00 / $768.62	Professional		$160.88	$326.00	$768.62
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 $178.02 / $179.97 / $304.89	Professional		$178.02	$179.97	$304.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.76	Professional		$32.34	$32.34	$344.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $288.08 / $534.48	Professional		$215.05	$288.08	$534.48