Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $596.41 / $3,270.00	Facility		$293.39	$596.41	$3,270.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $236.06 / $415.58 / $497.49	Facility	54	$236.06	$415.58	$497.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $340.38 / $647.71	Professional		$276.31	$340.38	$647.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,374.35 / $7,359.88	Facility		$330.07	$3,374.35	$7,359.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.07 / $524.16 / $711.54	Professional		$379.07	$524.16	$711.54
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 $300.41 / $467.03 / $691.07	Professional		$300.41	$467.03	$691.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $542.35 / $1,165.73	Professional		$357.75	$542.35	$1,165.73
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 $376.19 / $395.41 / $490.71	Professional		$376.19	$395.41	$490.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $554.88	Professional		$32.34	$32.34	$554.88
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $836.66 / $3,685.00	Facility		$165.00	$836.66	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.12 / $427.47 / $736.62	Professional		$317.12	$427.47	$736.62