Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.34 / $1,278.00 / $4,634.00	Facility		$517.34	$1,278.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $349.79 / $618.12 / $733.37	Facility	54	$349.79	$618.12	$733.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $470.79 / $880.55	Professional		$413.35	$470.79	$880.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $4,999.96 / $10,905.55	Facility		$2,202.15	$4,999.96	$10,905.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.89 / $774.20 / $1,045.03	Professional		$559.89	$774.20	$1,045.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.98 / $686.80 / $1,008.46	Professional		$473.98	$686.80	$1,008.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $547.62 / $804.10 / $1,781.52	Professional		$547.62	$804.10	$1,781.52
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 $549.02 / $583.14 / $721.64	Professional		$549.02	$583.14	$721.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $816.01	Professional		$32.34	$32.34	$816.01
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 $470.35 / $627.79 / $1,085.31	Professional		$470.35	$627.79	$1,085.31