Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.40 / $381.22 / $1,842.00	Facility		$79.40	$381.22	$1,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $72.98 / $170.20	Professional		$26.05	$72.98	$170.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $132.21 / $132.21 / $132.21	Professional	50	$132.21	$132.21	$132.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $198.32 / $385.26	Facility		$116.18	$198.32	$385.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $81.22 / $113.29	Professional		$34.29	$81.22	$113.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $57.05 / $146.97	Professional		$28.67	$57.05	$146.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $123.07 / $215.75	Professional		$44.11	$123.07	$215.75
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $44.11 / $130.19	Professional		$42.33	$44.11	$130.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $147.22	Professional		$32.34	$32.34	$147.22
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $84.06 / $103.77	Professional		$57.96	$84.06	$103.77