Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.54 / $1,129.00 / $5,091.00	Facility		$156.54	$1,129.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,431.28 / $2,500.56 / $2,500.56	Facility	50	$1,431.28	$2,500.56	$2,500.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $115.68 / $177.95	Professional		$86.76	$115.68	$177.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $460.50	Professional	50	$140.09	$140.09	$460.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,037.99 / $2,263.98	Facility		$411.32	$1,037.99	$2,263.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $166.66 / $181.21	Professional		$112.77	$166.66	$181.21
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 $96.76 / $141.72 / $254.60	Professional		$96.76	$141.72	$254.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $157.47 / $533.14	Professional		$95.21	$157.47	$533.14
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 $119.70 / $120.28 / $136.47	Professional		$119.70	$120.28	$136.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.32	Professional		$32.34	$32.34	$154.32
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 $100.95 / $133.10 / $263.39	Professional		$100.95	$133.10	$263.39