Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,318.26 / $5,623.41	Facility		$177.83	$1,318.26	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $81.28 / $275.42 / $1,412.54	Facility	50	$81.28	$275.42	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $426.58	Professional		$131.83	$204.17	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $354.81 / $1,479.11	Professional	50	$245.47	$354.81	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $2,818.38	Facility		$407.38	$549.54	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $257.04	Professional		$144.54	$208.93	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $346.74	Professional		$138.04	$208.93	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $691.83	Professional		$131.83	$234.42	$691.83
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 $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $758.58 / $2,187.76	Facility		$154.88	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $354.81	Professional		$144.54	$229.09	$354.81