Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $227.99 / $392.32 / $482.79	Facility	54	$227.99	$392.32	$482.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.39 / $315.85 / $562.08	Professional		$255.39	$315.85	$562.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.09 / $506.22 / $689.60	Professional		$366.09	$506.22	$689.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $441.23 / $652.44	Professional		$285.18	$441.23	$652.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $519.04 / $1,129.31	Professional		$345.40	$519.04	$1,129.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.46 / $381.04 / $476.50	Professional		$365.46	$381.04	$476.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $538.80	Professional		$32.34	$32.34	$538.80
United Facility/Professional Professional Modifier Low / Median / High Price $301.32 / $406.21 / $699.62	Professional		$301.32	$406.21	$699.62