Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.88 / $1,129.00 / $5,091.00	Facility		$244.88	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $218.21 / $367.31	Professional		$143.84	$218.21	$367.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $282.24 / $465.16	Professional	50	$194.52	$282.24	$465.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,513.92 / $3,302.06	Facility		$411.32	$1,513.92	$3,302.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $257.42 / $373.34	Professional		$166.35	$257.42	$373.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $242.56 / $410.78	Professional		$149.88	$242.56	$410.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $302.36 / $583.29	Professional		$152.18	$302.36	$583.29
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 $175.12 / $177.14 / $282.54	Professional		$175.12	$177.14	$282.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $319.49	Professional		$32.34	$32.34	$319.49
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 $197.72 / $264.39 / $463.05	Professional		$197.72	$264.39	$463.05