Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $1,192.00 / $5,091.00	Facility		$178.64	$1,192.00	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $81.23 / $275.00 / $1,418.00	Facility	50	$81.23	$275.00	$1,418.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.15 / $202.88 / $310.27	Professional		$141.15	$202.88	$310.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $243.06 / $324.68 / $466.83	Professional	50	$243.06	$324.68	$466.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,376.87 / $3,003.13	Facility		$411.32	$1,376.87	$3,003.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $206.57 / $256.48	Professional		$145.75	$206.57	$256.48
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 $133.59 / $208.20 / $325.88	Professional		$133.59	$208.20	$325.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $225.48 / $631.12	Professional		$129.93	$225.48	$631.12
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 $153.49 / $155.13 / $210.03	Professional		$153.49	$155.13	$210.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $237.49	Professional		$32.34	$32.34	$237.49
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 $170.51 / $249.36 / $399.12	Professional		$170.51	$249.36	$399.12