Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.50 / $1,017.00 / $4,634.00	Facility		$378.50	$1,017.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $241.30 / $416.36 / $512.13	Facility	54	$241.30	$416.36	$512.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $326.64 / $617.52	Professional		$270.74	$326.64	$617.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,449.18 / $7,523.10	Facility		$330.07	$3,449.18	$7,523.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $537.40 / $728.17	Professional		$388.64	$537.40	$728.17
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 $292.83 / $468.41 / $688.87	Professional		$292.83	$468.41	$688.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.89 / $548.09 / $1,156.95	Professional		$346.89	$548.09	$1,156.95
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 $389.48 / $404.55 / $503.11	Professional		$389.48	$404.55	$503.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $568.90	Professional		$32.34	$32.34	$568.90
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 $318.02 / $425.17 / $737.56	Professional		$318.02	$425.17	$737.56