Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.59 / $450.44 / $4,634.00	Facility		$193.59	$450.44	$4,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $145.19 / $249.75 / $310.92	Facility	54	$145.19	$249.75	$310.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $193.59 / $342.87	Professional		$157.91	$193.59	$342.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,092.46 / $4,563.96	Facility		$330.07	$2,092.46	$4,563.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.44 / $325.55 / $399.96	Professional		$235.44	$325.55	$399.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.58 / $243.58 / $271.92	Facility		$243.58	$243.58	$271.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $283.45 / $399.36	Professional		$177.13	$283.45	$399.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $320.39 / $675.10	Professional		$208.27	$320.39	$675.10
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 $239.25 / $245.01 / $273.25	Professional		$239.25	$245.01	$273.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.98	Professional		$32.34	$32.34	$308.98
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 $163.19 / $235.56 / $440.81	Professional		$163.19	$235.56	$440.81