Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.65 / $688.00 / $3,636.00	Facility		$242.65	$688.00	$3,636.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.00 / $342.99 / $424.01	Facility	54	$200.00	$342.99	$424.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $276.93 / $505.14	Professional		$222.32	$276.93	$505.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,858.86 / $6,235.55	Facility		$330.07	$2,858.86	$6,235.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.04 / $446.69 / $603.90	Professional		$323.04	$446.69	$603.90
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 $244.16 / $389.34 / $561.45	Professional		$244.16	$389.34	$561.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.67 / $454.56 / $983.14	Professional		$305.67	$454.56	$983.14
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 $323.66 / $336.41 / $417.08	Professional		$323.66	$336.41	$417.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $471.62	Professional		$32.34	$32.34	$471.62
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 $255.62 / $344.59 / $613.12	Professional		$255.62	$344.59	$613.12