Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.72 / $1,229.47 / $5,091.00	Facility		$177.72	$1,229.47	$5,091.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $571.87 / $1,945.25 / $5,519.00	Facility	50	$571.87	$1,945.25	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $194.66 / $374.84	Professional		$117.32	$194.66	$374.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $290.77 / $435.78 / $770.09	Professional	50	$290.77	$435.78	$770.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.33 / $700.72 / $2,745.39	Facility		$208.33	$700.72	$2,745.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $237.90 / $349.24	Professional		$156.38	$237.90	$349.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $4,720.00 / $5,249.00	Facility		$463.00	$4,720.00	$5,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $224.79 / $360.74	Professional		$140.63	$224.79	$360.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.47 / $288.10 / $635.09	Professional		$171.47	$288.10	$635.09
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 $159.22 / $164.70 / $267.97	Professional		$159.22	$164.70	$267.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.20	Professional		$32.34	$32.34	$309.20
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 $196.93 / $263.67 / $423.72	Professional		$196.93	$263.67	$423.72