Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $604.45 / $3,098.36	Facility		$221.49	$604.45	$3,098.36
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $126.71 / $247.34 / $361.21	Facility	54	$126.71	$247.34	$361.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $219.22 / $620.10	Professional		$145.22	$219.22	$620.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,645.85 / $3,589.80	Facility		$549.75	$1,645.85	$3,589.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.48 / $256.92 / $360.94	Professional		$215.48	$256.92	$360.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $254.36 / $382.15	Professional		$165.95	$254.36	$382.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $308.32 / $558.15	Professional		$199.34	$308.32	$558.15
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 $220.29 / $228.22 / $287.94	Professional		$220.29	$228.22	$287.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.58	Professional		$32.34	$32.34	$325.58
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 $182.36 / $247.77 / $445.30	Professional		$182.36	$247.77	$445.30