Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $672.53 / $5,389.00	Facility		$292.20	$672.53	$5,389.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.16 / $379.47 / $465.65	Facility	54	$219.16	$379.47	$465.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $292.20 / $553.74	Professional		$248.53	$292.20	$553.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,132.70 / $6,832.83	Facility		$330.07	$3,132.70	$6,832.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.19 / $486.99 / $639.79	Professional		$352.19	$486.99	$639.79
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 $268.17 / $424.47 / $613.07	Professional		$268.17	$424.47	$613.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $494.15 / $1,056.22	Professional		$329.60	$494.15	$1,056.22
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 $354.48 / $367.08 / $441.44	Professional		$354.48	$367.08	$441.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $505.32	Professional		$32.34	$32.34	$505.32
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 $273.26 / $380.35 / $659.23	Professional		$273.26	$380.35	$659.23