Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.85 / $813.00 / $5,389.00	Facility		$340.85	$813.00	$5,389.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.72 / $409.18 / $501.57	Facility	54	$237.72	$409.18	$501.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $320.36 / $620.83	Professional		$269.04	$320.36	$620.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,398.06 / $7,411.61	Facility		$330.07	$3,398.06	$7,411.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $525.45 / $685.24	Professional		$380.00	$525.45	$685.24
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 $285.04 / $457.99 / $659.28	Professional		$285.04	$457.99	$659.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $533.07 / $1,140.24	Professional		$345.40	$533.07	$1,140.24
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 $379.21 / $395.99 / $472.86	Professional		$379.21	$395.99	$472.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $534.70	Professional		$32.34	$32.34	$534.70
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 $301.56 / $402.27 / $695.18	Professional		$301.56	$402.27	$695.18