Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.04 / $813.00 / $4,500.00	Facility		$324.04	$813.00	$4,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.03 / $419.00 / $516.33	Facility	54	$243.03	$419.00	$516.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $327.11 / $631.87	Professional		$273.88	$327.11	$631.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,474.01 / $7,577.27	Facility		$330.07	$3,474.01	$7,577.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.02 / $542.08 / $692.82	Professional		$392.02	$542.08	$692.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $908.00	Facility		$250.87	$280.07	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.16 / $472.48 / $674.46	Professional		$301.16	$472.48	$674.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.42 / $536.66 / $1,214.43	Professional		$353.42	$536.66	$1,214.43
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 $393.67 / $407.97 / $478.65	Professional		$393.67	$407.97	$478.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $541.24	Professional		$32.34	$32.34	$541.24
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.66 / $406.98 / $706.43	Professional		$302.66	$406.98	$706.43