Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $1,129.00 / $5,430.00	Facility		$35.72	$1,129.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $44.64 / $74.38	Professional		$28.90	$44.64	$74.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.52 / $82.52 / $82.52	Professional	50	$82.52	$82.52	$82.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $211.17 / $712.62	Facility		$120.00	$211.17	$712.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $59.83 / $91.96	Professional		$38.47	$59.83	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Professional		$46.42	$46.42	$46.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $56.57 / $141.35	Professional		$34.69	$56.57	$141.35
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 $38.44 / $41.42 / $70.04	Professional		$38.44	$41.42	$70.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.81	Professional		$32.34	$32.34	$80.81
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 $49.74 / $66.90 / $125.16	Professional		$49.74	$66.90	$125.16