Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.74 / $1,272.00 / $5,389.00	Facility		$167.74	$1,272.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,016.54 / $1,119.00 / $2,186.25	Facility	50	$1,016.54	$1,119.00	$2,186.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $178.26 / $346.76	Professional		$106.49	$178.26	$346.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $255.29 / $314.82 / $554.92	Professional	50	$255.29	$314.82	$554.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $1,148.09 / $2,670.82	Facility		$302.58	$1,148.09	$2,670.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $218.05 / $329.38	Professional		$142.44	$218.05	$329.38
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 $127.90 / $208.38 / $340.67	Professional		$127.90	$208.38	$340.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $272.54 / $569.79	Professional		$156.07	$272.54	$569.79
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 $144.91 / $149.80 / $253.07	Professional		$144.91	$149.80	$253.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.01	Professional		$32.34	$32.34	$292.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.88 / $259.49 / $399.49	Professional		$187.88	$259.49	$399.49