Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $230.63 / $5,389.00	Facility		$69.09	$230.63	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $396.72 / $396.72 / $396.72	Facility	50	$396.72	$396.72	$396.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $82.82 / $162.21	Professional		$45.84	$82.82	$162.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.68 / $118.37 / $320.20	Professional	50	$97.68	$118.37	$320.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $527.11 / $1,149.69	Facility		$263.05	$527.11	$1,149.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $94.56 / $139.97	Professional		$62.03	$94.56	$139.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $100.34 / $169.42	Professional		$57.71	$100.34	$169.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $119.26 / $337.84	Professional		$71.98	$119.26	$337.84
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 $60.85 / $65.45 / $107.26	Professional		$60.85	$65.45	$107.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.77	Professional		$32.34	$32.34	$123.77
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $137.63 / $212.25	Professional		$82.54	$137.63	$212.25