Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.24 / $1,471.00 / $4,634.00	Facility		$539.24	$1,471.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $330.75 / $584.01 / $692.67	Facility	54	$330.75	$584.01	$692.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.30 / $444.01 / $810.04	Professional		$389.30	$444.01	$810.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.30 / $4,727.96 / $10,312.29	Facility		$2,137.30	$4,727.96	$10,312.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.02 / $731.51 / $974.57	Professional		$529.02	$731.51	$974.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.95 / $653.66 / $950.69	Professional		$448.95	$653.66	$950.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $511.02 / $747.39 / $1,843.24	Professional		$511.02	$747.39	$1,843.24
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 $519.27 / $551.01 / $672.91	Professional		$519.27	$551.01	$672.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $760.90	Professional		$32.34	$32.34	$760.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $593.05 / $1,014.11	Professional		$436.87	$593.05	$1,014.11