Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.80 / $1,017.00 / $4,634.00	Facility		$278.80	$1,017.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.74 / $349.30 / $425.40	Facility	54	$200.74	$349.30	$425.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $269.42 / $526.62	Professional		$231.18	$269.42	$526.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,869.44 / $6,258.62	Facility		$330.07	$2,869.44	$6,258.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $445.71 / $564.95	Professional		$322.33	$445.71	$564.95
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 $256.70 / $388.49 / $554.69	Professional		$256.70	$388.49	$554.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $442.44 / $931.05	Professional		$296.04	$442.44	$931.05
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 $323.45 / $335.69 / $390.01	Professional		$323.45	$335.69	$390.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $441.01	Professional		$32.34	$32.34	$441.01
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 $252.93 / $342.25 / $577.80	Professional		$252.93	$342.25	$577.80