Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,017.00 / $4,634.00	Facility		$438.00	$1,017.00	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $207.03 / $358.18 / $438.06	Facility	54	$207.03	$358.18	$438.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.80 / $276.04 / $510.96	Professional		$231.80	$276.04	$510.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,774.64 / $6,454.66	Facility		$330.07	$2,774.64	$6,454.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $459.91 / $608.85	Professional		$332.60	$459.91	$608.85
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 $259.86 / $400.86 / $595.04	Professional		$259.86	$400.86	$595.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $464.22 / $986.65	Professional		$317.08	$464.22	$986.65
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 $332.97 / $346.39 / $420.43	Professional		$332.97	$346.39	$420.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $480.60	Professional		$32.34	$32.34	$480.60
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 $273.14 / $367.09 / $624.32	Professional		$273.14	$367.09	$624.32