Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.87 / $840.56 / $3,636.00	Facility		$361.87	$840.56	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $271.39 / $472.33 / $573.46	Facility	54	$271.39	$472.33	$573.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $378.51 / $693.35	Professional		$311.50	$378.51	$693.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,879.58 / $8,461.86	Facility		$330.07	$3,879.58	$8,461.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $600.80 / $794.89	Professional		$434.50	$600.80	$794.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.36 / $530.14 / $776.48	Professional		$360.36	$530.14	$776.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.54 / $609.51 / $1,325.49	Professional		$416.54	$609.51	$1,325.49
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 $433.60 / $452.78 / $548.59	Professional		$433.60	$452.78	$548.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $620.33	Professional		$32.34	$32.34	$620.33
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 $354.04 / $473.14 / $820.62	Professional		$354.04	$473.14	$820.62