Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.03 / $806.00 / $4,500.00	Facility		$249.03	$806.00	$4,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.77 / $322.99 / $397.56	Facility	54	$186.77	$322.99	$397.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $261.62 / $494.92	Professional		$213.17	$261.62	$494.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,669.78 / $5,823.13	Facility		$330.07	$2,669.78	$5,823.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.93 / $418.88 / $551.28	Professional		$302.93	$418.88	$551.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.49 / $365.10 / $524.25	Professional		$232.49	$365.10	$524.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $282.98 / $424.48 / $902.58	Professional		$282.98	$424.48	$902.58
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 $305.55 / $315.33 / $380.84	Professional		$305.55	$315.33	$380.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $430.64	Professional		$32.34	$32.34	$430.64
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 $242.31 / $325.58 / $560.79	Professional		$242.31	$325.58	$560.79