Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.72 / $1,015.03 / $5,405.00	Facility		$105.72	$1,015.03	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $112.31 / $168.47	Professional		$85.07	$112.31	$168.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $103.32 / $173.79 / $251.02	Professional	50	$103.32	$173.79	$251.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.86 / $841.22 / $1,834.81	Facility		$478.86	$841.22	$1,834.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $137.63 / $163.84	Professional		$88.81	$137.63	$163.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $121.41 / $200.30	Professional		$76.90	$121.41	$200.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $132.69 / $316.01	Professional		$77.39	$132.69	$316.01
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 $94.72 / $95.81 / $123.29	Professional		$94.72	$95.81	$123.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.41	Professional		$32.34	$32.34	$139.41
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 $94.04 / $133.41 / $226.80	Professional		$94.04	$133.41	$226.80