Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $532.62 / $4,634.00	Facility		$282.45	$532.62	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $220.09 / $375.86 / $469.47	Facility	54	$220.09	$375.86	$469.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $304.72 / $583.44	Professional		$244.84	$304.72	$583.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $188.74 / $221.84 / $413.01	Professional	54	$188.74	$221.84	$413.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.57 / $2,949.77 / $6,862.06	Facility		$312.57	$2,949.77	$6,862.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.66 / $491.80 / $625.32	Professional		$355.66	$491.80	$625.32
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 $242.48 / $427.37 / $603.29	Professional		$242.48	$427.37	$603.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.44 / $484.35 / $1,056.69	Professional		$305.44	$484.35	$1,056.69
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 $359.76 / $370.38 / $431.70	Professional		$359.76	$370.38	$431.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $488.16	Professional		$32.34	$32.34	$488.16
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 $260.75 / $356.21 / $630.76	Professional		$260.75	$356.21	$630.76