Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.65 / $988.00 / $4,634.00	Facility		$183.65	$988.00	$4,634.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $99.00 / $367.77 / $1,933.50	Facility	50	$99.00	$367.77	$1,933.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $161.28 / $280.77	Professional		$115.17	$161.28	$280.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.32 / $204.70 / $478.80	Professional	50	$58.32	$204.70	$478.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,211.17 / $2,641.73	Facility		$411.32	$1,211.17	$2,641.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $193.61 / $240.30	Professional		$131.06	$193.61	$240.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $183.66 / $272.61	Professional		$119.91	$183.66	$272.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $195.36 / $345.40	Professional		$116.37	$195.36	$345.40
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 $140.44 / $141.15 / $186.52	Professional		$140.44	$141.15	$186.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.92	Professional		$32.34	$32.34	$210.92
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 $138.55 / $181.90 / $307.61	Professional		$138.55	$181.90	$307.61